Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon Taylor Ingwersen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902162019

Shannon Taylor Ingwersen, MD is a Student in an Organized Health Care Education/Training Program in Melbourne, Florida. Works from 2 locations. Licensed in Colorado and Florida.

Licensed in
CO, FL
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

330 E Hibiscus Blvd
Melbourne, FL 32901-3155
Phone: (321) 724-2229
Fax: (321) 728-6668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Tampa General Cir, Tampa, FL 33606-3571 — (813) 821-8038

Specialties & licences

Obstetrics Physician (primary) Taxonomy 207VX0000X · Licence ME149728 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence DR.0056592 (CO)

Record details

NPI number1902162019
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2012
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023

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