Individual provider · Type 1 NPI

Shannon Taylor Ingwersen, MD

Obstetrics Physician · Melbourne, FL

NPI number 1902162019 Active

Practice location

330 E Hibiscus Blvd
Melbourne, FL 32901-3155

Fax (321) 728-6668

Other practice locations

  • 2 Tampa General Cir, Tampa, FL 33606-3571 · (813) 821-8038

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Obstetrics & Gynecology Physician 207V00000XDR.0056592 (CO)
Obstetrics Physician Primary 207VX0000XME149728 (FL)

Obstetrics Physician: A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

22 other providers at this address

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About NPI 1902162019

Shannon Taylor Ingwersen, MD's National Provider Identifier is 1902162019, issued on Apr 3, 2012. The primary taxonomy on file is Obstetrics Physician (207VX0000X), and the practice location is in Melbourne, FL. The record was last updated on Jul 11, 2023.