Individual
CONNIE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1970 SAWGRASS MILLS CIR, SUNRISE, FL 33323-2994
(954) 512-1650
Mailing address
1970 SAWGRASS MILLS CIR, SUNRISE, FL 33323-2994
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1730862
FL
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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