Individual
INGE A THICKENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
830 OLD LANCASTER ROAD, BRYN MAWR MEDICAL OFFICE BUILDING NORTH, SUITE 210, BRYN MAWR, PA 19010
(610) 527-1600
(610) 527-0824
Mailing address
830 OLD LANCASTER ROAD, BRYN MAWR MEDICAL OFFICE BUILDING NORTH, SUITE 210, BRYN MAWR, PA 19010
(610) 527-1600
(610) 527-0824
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP010533
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1747143
MLHC B/S AA #
PA
01
—
440771
MLHC MEDICARE AA #
PA
Enumeration date
12/11/2009
Last updated
01/22/2014
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