Search › California › 373H00000X
Marissa Ingram
NPI 1235834383 · on the registry since 2023
Practice
- Address
- 100 Childrens Cir
Santa Rosa, CA 95409 - Phone
- (707) 565-6322
- Organisation at this address
- County Of Sonoma
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 2235 Mercury Way Ste 107, Santa Rosa, CA
Registry record
- Primary taxonomy
- 373H00000X
373H00000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California