Individual provider · Type 1 NPI

Sueann Ingersoll, PNP, RN, IBCLC

Pediatric Nurse Practitioner · Mission Viejo, CA

NPI number 1295262806 Active

Practice location

26800 Crown Valley Pkwy
Mission Viejo, CA 92691-6384

Fax (949) 347-1510

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X16217 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1295262806

Sueann Ingersoll, PNP, RN, IBCLC's National Provider Identifier is 1295262806, issued on May 12, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mission Viejo, CA. The record was last updated on May 12, 2017.