Provider Demographics
NPI:1780917187
Name:ACKELS, MONICA ANN
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:ANN
Last Name:ACKELS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:571 MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-2959
Mailing Address - Country:US
Mailing Address - Phone:307-763-0832
Mailing Address - Fax:
Practice Address - Street 1:571 MICHAEL DR
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-2959
Practice Address - Country:US
Practice Address - Phone:307-763-0832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator