Individual provider · Type 1 NPI

Tracy Lynn Ingham, NP-C

Adult Health Nurse Practitioner · Waconia, MN

NPI number 1821379272 Active

Practice location

424 W State Highway 5, Lakeview Clinic Ltd
Waconia, MN 55387-1723

Fax (952) 442-1213

Mailing address

3603 Rainbow Dr
Minnetonka, MN 55345-1036

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XA0611105 (MN)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1821379272

Tracy Lynn Ingham, NP-C's National Provider Identifier is 1821379272, issued on Aug 30, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Waconia, MN. The record was last updated on Nov 3, 2016.