Individual
ROBERT NEAL INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1115 RONALD REAGAN PKWY, PKWY 171, AVON, IN 46123-6910
(317) 278-3200
(317) 273-5988
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28161093A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71003284A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200988950
—
IN
Enumeration date
06/15/2010
Last updated
01/12/2021
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