Agave, Donna M

Agave, Donna M is an individual health care provider with primary practice located at 67 South Bedford St Ste 400W , Burlington MA 01803. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Agave, Donna M can be contacted via phone (781) 773-8200.

Contact Information

Primary practice address
67 South Bedford St Ste 400W Burlington MA 01803
Phone: (781) 773-8200
Fax: (650) 282-4462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 149537 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 149537 Massachusetts

Profile Details

NPI number 1669656187
LBN Legal business name Agave, Donna M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2007
Last updated Dec 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669656187 NPPES
Massachusetts Other 149537 LICENSE

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