| NPI | 1831267756 |
|---|---|
| Other Name | STACEY SNYDER INGRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 3001825) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R814593) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2024-10-03 |