MARCIA LYNNE INGRAM NPI 1316514789

NPI Information

NPI: 1316514789
Provider Name: MARCIA LYNNE INGRAM
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
40 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 456-1443
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Marcia Lynne Ingram is an addiction (substance use disorder) registered nurse in Grand Rapids, MI. Marcia Lynne Ingram NPI is 1316514789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

40 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503-304
Phone: (616) 456-1443
Fax: (616) 732-6392

The enumeration date for this NPI number is 6/5/2021 and was last updated on 6/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	4704287466	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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