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Individual
NICKY LEYDEN INGRISANO
Active
Individual
NICKY LEYDEN INGRISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
MD60168525
WA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60168525
WA
Other
Enumeration date
06/22/2006
Last updated
04/29/2026
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