MARY L. AGEE FNP NPI 1972684124

NPI Information

NPI: 1972684124
Provider Name: MARY L. AGEE, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
118 W DALLAS ST
BUFFALO, MO
ZIP 65622
Phone: (417) 345-6101
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Mary L. Agee, FNP is a family nurse practitioner in Buffalo, MO. Mary L. Agee, FNP NPI is 1972684124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

118 W DALLAS ST
BUFFALO, MO
ZIP 65622-669
Phone: (417) 345-6101
Fax: (417) 345-6913

The NPI 1972684124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 7/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	076409	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	423844307	MEDICAID	MISSOURI
2	S67620	MEDICARE UPIN	MISSOURI
3	000080652	MEDICARE PIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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