Individual
MRS. MIRIAM W INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3102 N HILTON STREET, BALTIMORE, MD 21216
(410) 578-0730
(410) 578-0978
Mailing address
3602 FAIRVIEW AVENUE, BALTIMORE, MD 21216
(410) 542-4773
(410) 542-4773
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R051001
MD
Other
Enumeration date
08/24/2006
Last updated
03/07/2023
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