Provider Demographics
NPI:1316699465
Name:INAE, KARRIGAN
Entity type:Individual
Prefix:
First Name:KARRIGAN
Middle Name:
Last Name:INAE
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 1:1165 E BULLOCH ST UNIT F305
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-3359
Mailing Address - Country:US
Mailing Address - Phone:951-522-0574
Mailing Address - Fax:
Practice Address - Street 1:1165 E BULLOCH ST UNIT F305
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:UT
Practice Address - Zip Code:84780-3359
Practice Address - Country:US
Practice Address - Phone:951-522-0574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program