Individual
MRS. ANTONETTE ROMERO INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7000
(410) 605-7912
Mailing address
10919 BILLINGS GATE ROW, COLUMBIA, MD 21044-2702
(410) 740-0747
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R146458
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
VAMHCS
MD
Enumeration date
01/30/2007
Last updated
06/24/2008
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