| Doctor Name: | MRS. PENNY INGRAM |
| NPI Number: | 1063615656 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N.C., N.P. |
| License Number: | 447619 |
| Business Practice Address: | 120 Richardson St Ste A 280 Sierra College Drive,suite 125@sierra Womens Health Grass Valley, CA - 959456276 |
| Business Phone Number: | 5305593442 |
| Business Fax Number: | |
| Mailing Address: | 13198 Greenhorn Rd, GRASS VALLEY |
| State: | CA |
| Postal Code: | 959457818 |
| Phone Number: | 5305593442 |
| Fax Number: | |
| NPI Enumeration Date: | 06/09/2007 |
| NPI Last Update Date: | 03/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 447619 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |