Individual
MS. INGRID M. GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
10240 W INDIAN SCHOOL RD, BUILDING 2 SUITE# 140, PHOENIX, AZ 85037-5904
(623) 846-7558
(623) 846-1674
Mailing address
10240 W INDIAN SCHOOL RD, BUILDING 2 SUITE# 140, PHOENIX, AZ 85037-5904
(623) 846-7558
(623) 846-1674
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
RN092976
AZ
367A00000X
Advanced Practice Midwife
092976
AZ
367A00000X
Advanced Practice Midwife
Primary
AP0220
AZ
367A00000X
Advanced Practice Midwife
RN092976
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393695
—
AZ
Enumeration date
07/12/2005
Last updated
03/23/2016
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