Provider Demographics
NPI:1982393369
Name:ACKERMAN, AUBREI (MW61419406)
Entity Type:Individual
Prefix:
First Name:AUBREI
Middle Name:
Last Name:ACKERMAN
Suffix:
Gender:F
Credentials:MW61419406
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2044 YALE AVE E APT 102
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-7202
Mailing Address - Country:US
Mailing Address - Phone:206-849-3788
Mailing Address - Fax:
Practice Address - Street 1:1500 EASTLAKE AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3707
Practice Address - Country:US
Practice Address - Phone:206-861-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW61419406176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife