Individual
MS. AGNES N OPARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 MAIN ST STE 216, CHARLESTOWN, MA 02129-1122
(617) 600-3195
Mailing address
387 SALEM ST # 2, MEDFORD, MA 02155-3339
(781) 391-2621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN196566
MA
363LF0000X
Family Nurse Practitioner
Primary
RN196566
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363L00000X
—
MA
Enumeration date
04/14/2011
Last updated
04/14/2011
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