MRS. MIRIAM W INGRAM


Address: 3102 N Hilton Street, Baltimore, MD 21216
Phone: 4105780730

MRS. MIRIAM W INGRAM (NPI# 1902913197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902913197
Entity Type Individual
Full Name MRS. MIRIAM W INGRAM
Credential CRNP
Practice Address 3102 N Hilton Street
Baltimore
MD 21216
Mailing Address 3602 Fairview Avenue
Baltimore
MD 21216
Practice Telephone 4105780730
Practice Fax Number 4105780978
Mailing Telephone 4105424773
Mailing Fax Number 4105424773
Enumeration Date 2006-08-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
R051001 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FEDERAL DEA MI1292767 01

Office Location

Street Address 3102 N HILTON STREET
City BALTIMORE
State MD
Zip Code 21216

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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