| Doctor Name: | MIEKE ACKELL |
| NPI Number: | 1114148418 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 227382 |
| Business Practice Address: | 237 Station Ave South Yarmouth, MA - 026641863 |
| Business Phone Number: | 5083942116 |
| Business Fax Number: | 5087601919 |
| Mailing Address: | 1398 Hyannis Rd, BARNSTABLE |
| State: | MA |
| Postal Code: | 026301535 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 227382 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |