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Individual
MARTHA FATU AGADA
Active
Individual
MARTHA FATU AGADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1473843
MN
363LF0000X
Family Nurse Practitioner
5910
MN
363LF0000X
Family Nurse Practitioner
Primary
AP145977
TX
363LF0000X
Family Nurse Practitioner
F06182215
MN
Other
Enumeration date
06/26/2018
Last updated
08/09/2021
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