Organization
UNCHARTED HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA INGRAM FNP (FNP)
(602) 373-0932
Entity
Organization
Contact information
Practice address
1300 S LITCHFIELD RD STE 210-I, GOODYEAR, AZ 85338-1513
(623) 248-0297
(623) 248-0299
Mailing address
1300 S LITCHFIELD RD STE 210I, GOODYEAR, AZ 85338-1583
(623) 248-0297
(623) 248-0299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
05/12/2022
Last updated
04/11/2023
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