National Provider Identifier Database

MARY L AGEE, FNP – NPI #1972684124
Family


Contact Information

MARY L AGEE, FNP
118 W DALLAS ST
BUFFALO, MO65622-8669
Phone: 417-345-6101
Fax: 417-345-6913
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for MARY L AGEE

NPI Number 1972684124
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 10/17/2006
Last updated 07/17/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 076409
  • MO Medicaid: 423844307
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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