Individual
MR. STEPHEN DANIEL INGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CNS
Contact information
Practice address
280 W MACARTHUR BLVD, OAKLAND, CA 94611-5642
(707) 365-6304
Mailing address
280 W MACARTHUR BLVD, OAKLAND, CA 94611-5642
(707) 365-6304
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
584959
CA
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
3210
CA
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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