Individual provider · Type 1 NPI

Cathryn Diane Ingram, PA

Family Nurse Practitioner · Ventura, CA

NPI number 1265434385 Active

Practice location

138 W Main St, Suite E, F, G
Ventura, CA 93001-2584

Mailing address

5855 Olivas Park Dr
Ventura, CA 93003-7672

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN CA326459, NP8826 (CA)
Medical Physician Assistant 363AM0700XPA13939 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1265434385

Cathryn Diane Ingram, PA's National Provider Identifier is 1265434385, issued on Jun 1, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ventura, CA. The record was last updated on Dec 26, 2013.