Individual
ANGELIQUE RENEE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
85 WILLOW ST, WHEATLEY HEIGHTS, NY 11798-1226
(914) 672-5123
Mailing address
85 WILLOW ST, WHEATLEY HEIGHTS, NY 11798-1226
(914) 672-5123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
600469
NY
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
600469
NY
163WP0000X
Pain Management Registered Nurse
600469
NY
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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