Mary L. Agee, FNP
Individual provider Active NPI Family Nurse Practitioner · Buffalo, MO
NPI 1972684124 · NPPES record last updated Jul 17, 2008
Key facts
- NPI
- 1972684124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 076409 (MO)
- Practice address
- 118 W Dallas St
Buffalo, MO 65622-8669 - Phone
- (417) 345-6101
- Fax
- (417) 345-6913
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Interoperability endpoints
- magee696@directb.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 076409 | MO | Yes |
Addresses
Primary practice location
118 W Dallas St
Buffalo, MO 65622-8669
Mailing address
PO Box 2580
Springfield, MO 65801-2580
Phone (417) 829-4620
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 423844307 | Medicaid | MO |
Other providers in Buffalo, MO
- Advocates for a Healthy Community
- Advocates for a Healthy Community Inc
- Heidi R Andress
- Julia Michele Bass
- Miranda Kay Bess
- Lisa Blake
- Leanne Boggs
All providers in Buffalo, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.