Mary R. Ingram in Rapid City - Nurse Practitioner
Mary R. Ingram - NPI 1164486452
Mary R. Ingram is a Nurse Practitioner in Rapid City, South Dakota. Mary R. Ingram practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary R. Ingram is 1164486452. The last update date is 2011-11-08.
Mary R. Ingram's current location address is 3200 Canyon Lake Dr, Rapid City, South Dakota. You can contact this provider via phone number 6053552443 and fax number 6053552403. The mailing address for Mary R. Ingram is 3200 Canyon Lake Dr, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary R. Ingram |
|---|---|
| Address | 3200 Canyon Lake Dr, Rapid City, South Dakota |
| Phone Number | 6053552443 |
| Fax Number | 6053552403 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1164486452 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2011-11-08 |
Provider Mailing Address Detail
| Address | 3200 Canyon Lake Dr |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577028114 |
| Phone Number | 6053552443 |
| Fax Number | 6053552403 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RPO22257 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5549050 | SD | -- |
Post Comment/ Review Below
What is the Mary R. Ingram's 1164486452?
The Mary R. Ingram's NPI (National Provider Identifier) Number is 1164486452. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mary R. Ingram's facilities are geographically located?
The facilities of Mary R. Ingram are physically situated at the following location: 3200 Canyon Lake Dr, Rapid City, SD, 577028114.
What is Mary R. Ingram's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary R. Ingram's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date was the 1164486452 assigned to Mary R. Ingram?
The Mary R. Ingram was issued its 1164486452 on 2006-04-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Mary R. Ingram's information last updated?
The Mary R. Ingram's information was last updated on 2011-11-08.