Ingrid Diederen Phd Pa

NPI 1114229275 - Clinic/Center - 261QM0850X

NPI Details
NPI 1114229275
Enumeration Date 11/23/2010
Last Updated 11/23/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name INGRID MARY INGRID
Position PRESIDENT
Phone (828) 253-1445
Fax (828) 253-1456
Practice Location
172 ASHELAND AVE
SUITE D
ASHEVILLE NC, 28801-4005, US
Phone (828) 253-1445
Fax (828) 253-1456
Business Location
172 ASHELAND AVE
SUITE D
ASHEVILLE NC, 28801-0172, US
Phone
Fax
Toxanomy
Taxonomy Code 261QM0850X
License State North Carolina
License Number 1376
Remove 1114229275 NPI Number
 

According to our database, Ingrid Diederen Phd Pa NPI is 1114229275, taxonomy code is 261QM0850X and license number is 1376, license state is located at North Carolina. Ingrid Diederen Phd Pa physically located at 172 Asheland Ave, Asheville NC, 28801-4005. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1114229275 NPI number is provided on an as is basis without warranty of any kind. 1114229275 is maintained by the National Plan & Provider Enumeration System. The contents of Ingrid Diederen Phd Pa are for informational purposes only.