Individual
MS. RITA MARIE INGERSOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CCM
Contact information
Practice address
665 WELLINGTON CRES, MOUNT CLEMENS, MI 48043-2950
(586) 201-4177
(586) 329-3241
Mailing address
PO BOX 463173, MOUNT CLEMENS, MI 48046-3173
(586) 201-4177
(586) 329-3241
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704166753
MI
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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