Healthcare Provider Details

I. General information

NPI: 1609489590
Provider Name (Legal Business Name): VERONICA ACKER MSN, APRN-RNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2020
Last Update Date: 03/16/2023
Certification Date: 03/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 E PECOS RD STE 301
GILBERT AZ
85295-3203
US

IV. Provider business mailing address

PO BOX 6423
CHANDLER AZ
85246-6423
US

V. Phone/Fax

Practice location:
  • Phone: 480-806-2100
  • Fax: 480-546-4784
Mailing address:
  • Phone: 480-855-2224
  • Fax: 480-398-8080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number244485
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: