Healthcare Provider Details

I. General information

NPI: 1063151785
Provider Name (Legal Business Name): BONNIE AKERSON MBA, INHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 02/07/2023
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 HAYDEN AVE
LEXINGTON MA
02421-7967
US

IV. Provider business mailing address

PO BOX 1264
MARBLEHEAD MA
01945-5264
US

V. Phone/Fax

Practice location:
  • Phone: 781-797-0309
  • Fax:
Mailing address:
  • Phone: 781-797-0309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: