Individual provider · Type 1 NPI
Rita Marie Ingersoll, RN, BSN, CCM
Case Management Registered Nurse · Mount Clemens, MI
NPI number
1013681295
Active
Practice location
665 Wellington Cres
Mount Clemens, MI 48043-2950
Fax (586) 329-3241
Mailing address
PO Box 463173
Mount Clemens, MI 48046-3173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 4704166753 (MI) |
Case Management Registered Nurse: Definition to come...
About NPI 1013681295
Rita Marie Ingersoll, RN, BSN, CCM's National Provider Identifier is 1013681295, issued on Aug 2, 2021. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Mount Clemens, MI. The record was last updated on Aug 2, 2021.