Provider Demographics
NPI:1326683830
Name:INGRAM NLEMADIM, ALMA
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:
Last Name:INGRAM NLEMADIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8367 SLIPPERY ROCK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-2366
Mailing Address - Country:US
Mailing Address - Phone:210-283-8517
Mailing Address - Fax:
Practice Address - Street 1:8367 SLIPPERY ROCK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-2366
Practice Address - Country:US
Practice Address - Phone:210-283-8517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX500361163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse