Organization
TRACY INGRAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY LARGADO INGRAM DNP, APRN, PMHNP-BC (OWNER)
(808) 583-6411
Entity
Organization
Contact information
Practice address
98-1247 KAAHUMANU ST STE 106, AIEA, HI 96701-5310
(808) 583-6411
(808) 480-7589
Mailing address
98-1247 KAAHUMANU ST STE 106, AIEA, HI 96701-5310
(808) 583-6411
(808) 480-7589
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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