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TRACY LARGADO INGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
98-1247 KAAHUMANU ST STE 106, AIEA, HI 96701-5310
(808) 391-5225
(808) 888-2817
Mailing address
PO BOX 893871, MILILANI, HI 96789-0871
(808) 391-5225

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN-45413
HI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-3566
HI

Other

Enumeration date
11/20/2021
Last updated
06/28/2023
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