Individual
ROSALYN A INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
25 NEWELL RD, BRISTOL, CT 06010-5100
(860) 583-9252
(860) 585-9848
Mailing address
25 NEWELL RD, BRISTOL, CT 06010-5100
(860) 583-9252
(860) 585-9848
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
8622
CT
Other
Enumeration date
11/13/2019
Last updated
01/02/2020
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