Individual
BRANDI MORGAN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3000
Mailing address
5764 N OTTAWA RD, VIRGINIA BEACH, VA 23462-3917
(864) 421-3126
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001281950
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024190351
VA
Other
Enumeration date
05/16/2024
Last updated
07/30/2024
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