Individual
KATHERINE BROOKS INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 243-6298
(505) 841-1956
Mailing address
1720 LOUISIANA BLVD NE, SUITE #401, ALBUQUERQUE, NM 87110-7022
(505) 260-4300
(505) 260-4371
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA -
NM
367500000X
Certified Registered Nurse Anesthetist
RN0000169920
TN
Other
Enumeration date
02/07/2012
Last updated
10/24/2022
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