Sueann Ingersoll, PNP, RN, IBCLC Valid NPI

Individual provider · Pediatric Nurse Practitioner · Mission Viejo, CA

NPI

1295262806

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

16217 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2017-05-12

Last updated

2017-05-12