Individual provider · Type 1 NPI

Selene Ingraham, APRN

Family Nurse Practitioner · Provo, UT

NPI number 1780577189 Active

Practice location

1055 N 500 W, Ste 201 Bldg C
Provo, UT 84604

Fax (801) 429-8150

Other practice locations

  • 221 S 2800 E, Spanish Fork, UT 84660-6514 · (801) 669-4656

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X8513908-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1780577189

Selene Ingraham, APRN's National Provider Identifier is 1780577189, issued on Jun 3, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Provo, UT. The record was last updated on Jun 20, 2025.