Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L56279 | CA |
NPI | 1356760391 |
---|---|
Provider Name | Andrea K Ackerson |
First Address | Nashua, NH 03063-3322 |
Second Address | Nashua, NH 03063-3322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2014 |
Last Update Date | 16/12/2016 |