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Contact Information

DIONDRIA E INGRAM, CNM
5171 S CUB LAKE RD STE 340
SHOW LOW, AZ85901-7888
 Phone: 480-821-3600
 Fax: 480-857-2667
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for DIONDRIA E INGRAM · (Female)

NPI Number 1205493194
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 05/25/2019
Last updated 04/11/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # 322288
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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