Provider / Organization | NPI | Date Certified |
---|---|---|
TRACY LARGADO INGRAM | 1659038040 | 2021-11-20 |
Tracy Largado Ingram is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1659038040. Registration indicates Tracy Largado Ingram is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Registered Nurse Psych/Mental Health, Nursing Service Providers) (Registered Nurse, ) Access to Mental Health/Behavioral Health Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Tracy Largado Ingram |
Practice Office Address | 98-1247 KAAHUMANU ST STE 106 AIEA, HI US |
Practice Office Telephone | 8083915225 |
Practice Office Fax | 8088882817 |
Mailing Address | PO BOX 893871 MILILANI, HI 967890871 US |
Business Telephone | 8083915225 |
Code | Practice | License No State |
---|---|---|
163WP0808X | Nursing Service Providers Registered Nurse Registered Nurse: Psych/Mental Health All Other Specialties & Provider Types Registered Nurse Psych/Mental Health Nursing Service Providers Registered Nurse | RN-45413
HI |
363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | APRN-3566
HI |