Ingram, Brandy E.

Ingram, Brandy E. is an individual health care provider with primary practice located at 5030 S Mill Ave Ste D12 D12, Tempe AZ 85282-6849. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ingram, Brandy E. can be contacted via phone (480) 894-2823.

Contact Information

Primary practice address
5030 S Mill Ave Ste D12 D12 Tempe AZ 85282-6849
Phone: (480) 894-2823
Fax: (480) 756-6663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3713 Arizona

Profile Details

NPI number 1730366386
LBN Legal business name Ingram, Brandy E.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2008
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730366386 NPPES
Arizona Other 1079446 NCCPA
Arizona MEDICAID 356769 NCCPA

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