Individual
REBECCA INGALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
089379-23
NH
363L00000X
Nurse Practitioner
CNP241362
ME
363LW0102X
Women's Health Nurse Practitioner
SP020225
PA
367A00000X
Advanced Practice Midwife
Primary
MW010528
PA
Other
Enumeration date
06/19/2019
Last updated
02/03/2026
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