Individual
MRS. CATHY INGALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
6633 HIGHWAY 37, PIERCE CITY, MO 65723
(417) 354-8657
(417) 354-8607
Mailing address
6633 HWY 37, PIERCE CITY, MO 65723
(417) 354-8657
(417) 354-8607
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
138054
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425908506
—
MO
05
—
425908514
—
MO
05
—
425908522
—
MO
Enumeration date
08/19/2005
Last updated
03/09/2016
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