Healthcare Provider Details

I. General information

NPI: 1932198348
Provider Name (Legal Business Name): BARBARA ANN AGEE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 OLD WESTPORT RD HEALTH SERVICES
NORTH DARTMOUTH MA
02747-2356
US

IV. Provider business mailing address

99 BEAR PAW TRAIL
EAST TAUNTON MA
02718
US

V. Phone/Fax

Practice location:
  • Phone: 508-999-8982
  • Fax: 508-999-8985
Mailing address:
  • Phone: 508-967-7050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number110369
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: