Most Relevant Information
Provider Data
| NPI Number: | 1003655580 |
| Provider Name: | SHERIA LASHANETTE INGRAM LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 846350 |
Most Important Dates
| Enumeration Date: | 05/23/2024 |
| Last Updated: | 05/23/2024 |
Provider Practice Location
7101 SMOKE RANCH RD 2076
LAS VEGAS
NV
89128
Practice Location Phone/Fax
| Phone: | 2168549879 |
| Fax: |
Provider Mailing Location
7101 SMOKE RANCH RD 2076
LAS VEGAS
NV
89128
Provider Mailing Phone/Fax
| Phone: | 2168549879 |
| Fax: |