Individual provider · Type 1 NPI

Joanna Ingebritsen

Student in an Organized Health Care Education/Training Program · Vallejo, CA

NPI number 1245764539 Active

Practice location

975 Sereno Dr, Family Medicine Department
Vallejo, CA 94589-2441

Call (707) 651-4071 Map

Mailing address

155 Brookside Dr
Portola Valley, CA 94028-7803

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245764539

Joanna Ingebritsen's National Provider Identifier is 1245764539, issued on Apr 13, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Vallejo, CA. The record was last updated on Dec 17, 2021.