Agee, Mary L.

Agee, Mary L. is an individual health care provider with primary practice located at 118 W Dallas St , Buffalo MO 65622-8669. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Agee, Mary L. can be contacted via phone (417) 345-6101.

Contact Information

Primary practice address
118 W Dallas St Buffalo MO 65622-8669
Phone: (417) 345-6101
Fax: (417) 345-6913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 076409 Missouri

Profile Details

NPI number 1972684124
LBN Legal business name Agee, Mary L.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 17th, 2008 - about 16 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 1972684124 NPPES
Missouri MEDICAID 423844307

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