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Individual

MS. ELLEN MARIE INGRAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, ANP

Contact information

Practice address
149 WESTLAND AVE, ROCHESTER, NY 14618-1028
(585) 261-2567
Mailing address
149 WESTLAND AVE, ROCHESTER, NY 14618-1028
(585) 261-2567

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302530-1
NY

Other

Enumeration date
12/18/2007
Last updated
12/18/2007
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