Individual
RORY BLYTHE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC, CCRN
Contact information
Practice address
SOUTH CENTRAL FOUNDATION, 4155 TUDOR CENTRE DRIVE, ANCHORAGE, AK 99508-5912
(509) 215-1700
(509) 215-1700
Mailing address
SOUTH CENTRAL FOUNDATION, 4155 TUDOR CENTRE DRIVE, ANCHORAGE, AK 99508-5912
(509) 215-1700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10011262
OR
363LF0000X
Family Nurse Practitioner
192728
AK
363LF0000X
Family Nurse Practitioner
3824-0
HI
363LF0000X
Family Nurse Practitioner
54633
ID
363LF0000X
Family Nurse Practitioner
Primary
95007083
CA
363LF0000X
Family Nurse Practitioner
APRN11030726
FL
Other
Enumeration date
06/09/2017
Last updated
06/21/2024
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