Individual provider · Type 1 NPI

Claudette R. Ingram-Fonaris

Case Management Registered Nurse · St. Louis, MO

NPI number 1699538769 Active

Practice location

915 N Grand Blvd
St. Louis, MO 63106-1621

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X1999138166 (MO)

Case Management Registered Nurse: Definition to come...

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About NPI 1699538769

Claudette R. Ingram-Fonaris's National Provider Identifier is 1699538769, issued on Feb 1, 2024. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in St. Louis, MO. The record was last updated on Feb 1, 2024.