Basic Information
| Provider Information | |||||||||
| NPI: | 1366445884 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | INGLESBY-SCHAEFER | ||||||||
| FirstName: | SALLY | ||||||||
| MiddleName: | REGINA | ||||||||
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| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 603250 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282603250 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8288849111 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 360 HOSPITAL DR | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | CLYDE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287210107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8284569006 | ||||||||
| FaxNumber: | 8284568199 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/30/2005 | ||||||||
| LastUpdateDate: | 10/14/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | CNM099 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.