Otis Perry Max Ingersoll in Albany - Family
Otis Perry Max Ingersoll - NPI 1386838407
Otis Perry Max Ingersoll is a Family in Albany, California. Otis Perry Max Ingersoll practices all healthcare services and medical treatments related to Family. The NPI Number for Otis Perry Max Ingersoll is 1386838407. The last update date is 2021-02-10.
Otis Perry Max Ingersoll's current location address is 500 San Pablo Ave, Albany, California. You can contact this provider via phone number 5102048130 and fax number 5105240861. The mailing address for Otis Perry Max Ingersoll is 500 San Pablo Ave, Albany, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Otis Perry Max Ingersoll |
|---|---|
| Address | 500 San Pablo Ave, Albany, California |
| Phone Number | 5102048130 |
| Fax Number | 5105240861 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1386838407 |
|---|---|
| Provider Enumeration Date | 2007-08-31 |
| Last Updated Date | 2021-02-10 |
Provider Mailing Address Detail
| Address | 500 San Pablo Ave |
|---|---|
| City | Albany |
| State | California (CA) |
| Post Code | 947061103 |
| Phone Number | 5102048130 |
| Fax Number | 5105240861 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 14774 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identification code issued to Otis Perry Max Ingersoll by the Centers for Medicare & Medicaid Services?
The Otis Perry Max Ingersoll has been assigned the NPI (National Provider Identifier) 1386838407 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Otis Perry Max Ingersoll is physically located?
The Otis Perry Max Ingersoll is physically situated at the following address: 500 San Pablo Ave, Albany, CA, 947061103.
What is the area of specialization for Otis Perry Max Ingersoll, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Otis Perry Max Ingersoll is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Otis Perry Max Ingersoll receive its 1386838407 assignment from the Centers for Medicare & Medicaid Services?
The Otis Perry Max Ingersoll was assigned its 1386838407 by the Centers for Medicare & Medicaid Services on 2007-08-31.
As of what date were the Otis Perry Max Ingersoll's details last updated?
The information pertaining to the Otis Perry Max Ingersoll, including its address, specialty, and other details, was most recently updated on 2021-02-10.
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