Provider Demographics
NPI:1265208185
Name:INGHAM, ARAN COLLEEN (FNP)
Entity type:Individual
Prefix:MS
First Name:ARAN
Middle Name:COLLEEN
Last Name:INGHAM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ARAN
Other - Middle Name:COLLEEN
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:300 RAINBOW DR STE 102
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4155
Mailing Address - Country:US
Mailing Address - Phone:843-942-9960
Mailing Address - Fax:843-799-5088
Practice Address - Street 1:300 RAINBOW DR STE 102
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4155
Practice Address - Country:US
Practice Address - Phone:843-942-9960
Practice Address - Fax:843-799-5088
Is Sole Proprietor?:No
Enumeration Date:2023-12-01
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC28102363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily