Chelsea Leigh Ingrassia, FNP-C
Nurse Practitioner, Family in Syracuse, NY. Individual provider (NPI-1).
NPI number1124450697
StatusActive
Last updated in NPPESNov 13, 2015
Details
- NPI
- 1124450697
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Chelsea Leigh Ingrassia
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2013
- Last updated
- Nov 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F338031-1 | NY | Yes |
| 163W00000X | Registered Nurse | 620102-1 | NY | |
| 163W00000X | Registered Nurse | RN648164 | PA | |
| 363LF0000X | Nurse Practitioner, Family | SP013073 | PA |
Other names
- Chelsea Leigh Wallace (Former Name)
Practice location
301 Prospect AvePrimary Care Center, Pob 6th Fl
Syracuse, NY 13203-1807
Phone 315-448-5547 · Fax 315-448-6313
Mailing address
301 Prospect AvePrimary Care Center, Pob 6th Fl
Syracuse, NY 13203-1807
Phone 315-448-5547 · Fax 315-448-6313
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