Individual
CAROLYNE MICHELE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
MT. SHUKSAN FAMILY MEDICINE, 2216 CORNWALL AVE, BELLINGHAM, WA 98225
(360) 647-1900
Mailing address
2216 CORNWALL AVE, BELLINGHAM, WA 98225-3719
(360) 647-1900
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP30003413
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9613050
—
WA
Enumeration date
08/25/2006
Last updated
12/12/2023
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