Provider Demographics
NPI:1225750367
Name:INGA, ARACELLY MERCEDES (FNP-C)
Entity Type:Individual
Prefix:MISS
First Name:ARACELLY
Middle Name:MERCEDES
Last Name:INGA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ARACELLY
Other - Middle Name:MERCEDES
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1705 HORSE SHOE LOOP
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-4378
Mailing Address - Country:US
Mailing Address - Phone:510-299-9745
Mailing Address - Fax:
Practice Address - Street 1:2505 W HAMMER LN
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95209-2839
Practice Address - Country:US
Practice Address - Phone:209-957-7050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95022647363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily