Provider Demographics
NPI:1427206655
Name:ACKERMAN, DENISE SUE (MS, RD)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:SUE
Last Name:ACKERMAN
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18633 HILLSBORO RD
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91326-3913
Mailing Address - Country:US
Mailing Address - Phone:818-363-0544
Mailing Address - Fax:818-831-7929
Practice Address - Street 1:18633 HILLSBORO RD
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91326-3913
Practice Address - Country:US
Practice Address - Phone:818-363-0544
Practice Address - Fax:818-831-7929
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital