Individual
NICOLE MICHELLE INGOLD
Active
Individual
NICOLE MICHELLE INGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2011017832
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
2016008616
MO
Other
Enumeration date
03/22/2016
Last updated
02/16/2024
Update your record
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