Individual
MR. TODDY FARRELL INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP-PMH
Contact information
Practice address
200 LILLY RD NE, OLYMPIA, WA 98506-5427
(360) 918-8336
Mailing address
200 LILLY RD NE STE C, OLYMPIA, WA 98506-5080
(360) 918-8336
(360) 628-8186
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30007838
WA
Other
Enumeration date
08/14/2007
Last updated
11/04/2025
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