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NPI Code Detail

MEDICARE: ROCIO ELIZABETH INGLES

MEDICARE: ROCIO ELIZABETH INGLES
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
1363AM0700XMedical Physician Assistant0010-15125NC
2390200000XStudent in an Organized Health Care Education/Training Program
3363AM0700XMedical Physician AssistantPA66216CA

General Provider Information

NPI Number : 1922717214
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROCIO ELIZABETH INGLES
Provider Business Mailing Address
First Line : 1117 HICKORY DR
Second Line :
City : HILLSBOROUGH
State : NC
Zip : 27278-7365
Country : US
Telephone Number : 919-381-8157
Fax Number :
Provider Business Practice Location Address
First Line : 3425 N 1ST ST
Second Line :
City : FRESNO
State : CA
Zip : 93726-6821
Country : US
Telephone Number : 919-381-8157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2022
Last Update Date : 05/29/2025

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Directions to “ ROCIO ELIZABETH INGLES ” Practice Location

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