Individual
CARRIE ELIZABETH INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, APRN
Contact information
Practice address
713 E MARION AVE STE 139, PUNTA GORDA, FL 33950-3863
(941) 833-1750
(941) 766-1511
Mailing address
713 E MARION AVE, PUNTA GORDA, FL 33950-3872
(941) 833-1750
(941) 763-1511
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN 0000120242
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3007428
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9375076
FL
Other
Enumeration date
02/22/2012
Last updated
09/09/2020
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