Otis Perry Max Ingersoll, FNP
NPI #1386838407 in Albany, California
Provider Information
- NPI Number
- 1386838407
- Entity Type
- Individual
- Name
- Otis Perry Max Ingersoll, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Aug 31, 2007
- Last Updated
- Feb 10, 2021
Practice Location
- Address
- 500 SAN PABLO AVE
- City
- Albany
- State
- California
- ZIP Code
- 94706-1103
- Phone
- (510) 204-8130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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