IndividualActive
Alicia Ingram, CRNA
NPI 1306176805 · Certified Registered Nurse Anesthetist · Louisville, KY
Provider details
- NPI number
- 1306176805
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 1106765 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 Mallard Creek Rd
Suite 320
Louisville, KY 40207-4194
Phone: (502) 690-8782
Fax: (502) 459-0923
Approximate (ZIP-level) locationGet directions
Mailing address
100 Mallard Creek Rd
Louisville, KY 40207-4194
Additional practice locations (1)
- 1373 E State Road 62Madison, IN 47250-7328Phone: (812) 801-0609
Registry dates
- Enumerated
- 2010-01-05
- Last updated
- 2024-07-23
- Certified
- 2024-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.