Nicole M. Ingrisano
Obstetrician & Gynecologist Internist - Addiction Medicine
5300 Tallman Ave Nw
Seattle
, Washington 98107-3932
Nicole M. Ingrisano
Obstetrician & Gynecologist Internist - Addiction Medicine
5300 Tallman Ave Nw
Seattle
, Washington 98107-3932
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About
Features
Specialties
- Internist - Addiction Medicine
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Nicole M. Ingrisano
- 5300 Tallman Ave Nw
- Seattle, WA
- Zip : 98107-3932
- Phone :
Second Address
- Nicole M. Ingrisano
- 5300 Tallman Ave Nw
- Seattle, WA
- Zip : 98107-3932
- Phone : (608) 358-1329
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Is Nicole M. Ingrisano a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RA0401X | Internist - Addiction Medicine | MD60168525 | WA |
| Y | 207V00000X | Obstetrician & Gynecologist | MD60168525 | WA |
National Provider Identifier
| NPI | 1053357335 |
|---|---|
| Provider Name | Nicole M. Ingrisano |
| First Address | Seattle, WA 98107-3932 |
| Second Address | Seattle, WA 98107-3932 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2006 |
| Last Update Date | 07/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.