Individual
RACHEL INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1412 ROYAL LAKE DR, INDIANAPOLIS, IN 46228-1369
(317) 255-3842
Mailing address
1412 ROYAL LAKE DR, INDIANAPOLIS, IN 46228-1369
(317) 255-3842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10180745
IN
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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