person
Cathryn Diane Ingram, PA
Medical Physician Assistant in Ventura, California
NPI 1265434385

Cathryn Diane Ingram is a Medical Physician Assistant based in Ventura, CA and is specialized in Medical. Cathryn Diane Ingram practices in Ventura, CA and has the professional credentials of PA. The NPI Number for Cathryn Diane Ingram is 1265434385 and holds a License No. RN CA326459, NP8826 (California).

The current practice location address for Cathryn Diane Ingram is 138 W Main St, Ventura, CA and can be reached out via phone at 805-667-2850.

Location: 138 W Main St, Ventura, CA, 93003-7672
person
Provider Profile Details
NPI Number
1265434385
Provider Name
Cathryn Diane Ingram
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
138 W Main St, Ventura, CA, 93003-7672
Phone Number
805-667-2850
Fax Number
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RHM18553H 05 CA
ZZT40394F 05 CA
RHM08608F 05 CA
RHM08609F 05 CA
95-1683892 01 CA OTHER INSURANCE
institution
Provider Business Practice Location Address Details
Address
138 W Main St
City
State
Zip
93001-2584
Phone Number
805-667-2850
Fax Number
person
Provider Business Mailing Address Details
Address
138 W Main St
City
State
Zip
93001-2584
Phone Number
805-667-2850
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA13939 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN CA326459, NP8826 (California)
Definition
Definition to come...
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