Individual
CINDY LEE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
100 DAWN LN, WAVERLY, OH 45690-9138
(740) 947-6391
(740) 947-6538
Mailing address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(740) 779-7540
(740) 779-7867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA-08616
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2465943
—
OH
01
—
311072406
3RD PARTY PAYERS
OH
Enumeration date
02/20/2007
Last updated
12/28/2020
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