Individual provider · Type 1 NPI

Otis Perry Max Ingersoll, FNP

Family Nurse Practitioner · Albany, CA

NPI number 1386838407 Active

Practice location

500 San Pablo Ave
Albany, CA 94706-1103

Fax (510) 524-0861

Other practice locations

  • 2850 Telegraph Ave, #130, Berkeley, CA 94705-1192 · (510) 204-8110

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X14774 (CA)

Family Nurse Practitioner: Definition to come...

29 other providers at this address

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About NPI 1386838407

Otis Perry Max Ingersoll, FNP's National Provider Identifier is 1386838407, issued on Aug 31, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Albany, CA. The record was last updated on Feb 10, 2021.