Individual
MRS. LAURA MICHELLE INGRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
M/MED/QI, SA-1, US DEPARTMENT OF STATE, WASHINGTON, DC 20522-0102
(202) 663-1519
(260) 496-8077
Mailing address
M/MED/QI, SA-1, US DEPARTMENT OF STATE, WASHINGTON, DC 20522-0102
(202) 663-1519
(260) 496-8077
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP500011974
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71001999A
NP LICENSE
IN
Enumeration date
11/02/2005
Last updated
09/04/2025
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