Amanda M Ingram, RN
Registered Nurse in Hannibal, MO. Individual provider (NPI-1).
NPI number1700620028
StatusActive
Last updated in NPPESJun 21, 2024
Details
- NPI
- 1700620028
- Entity type
- Individual (NPI-1)
- Name
- Amanda M Ingram
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2024
- Certification date
- Jun 21, 2024
- Last updated
- Jun 21, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 2020037322 | MO | Yes |
Other names
- Amanda Ingram (Former Name)
Practice location
141 Communication DrHannibal, MO 63401-3670
Phone 573-603-1460
Mailing address
1601 Old South River RdSaint Charles, MO 63303-4120
Phone 636-224-1210 · Fax 636-246-1008
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Registered Nurse providers in Hannibal · All 777 providers in Hannibal
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