MEDICARE: INGENIOUS HEALTH GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1225866197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INGENIOUS HEALTH GROUP

Provider Business Mailing Address
First Line	:	20 W WENGER RD
Second Line	:
City	:	ENGLEWOOD
State	:	OH
Zip	:	45322-2744
Country	:	US
Telephone Number	:	937-999-7564
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 W WENGER RD
Second Line	:
City	:	ENGLEWOOD
State	:	OH
Zip	:	45322-2744
Country	:	US
Telephone Number	:	937-999-7564
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALENDRE MCGHEE
Credential	:	DNP, APRN-CNP
Telephone Number	:	937-999-7564

Provider Enumeration Date	:	07/23/2024
Last Update Date	:	07/23/2024

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