Individual
AGNES OPOKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1201 N POST RD STE 4, INDIANAPOLIS, IN 46219-4225
(317) 405-8833
(317) 672-2398
Mailing address
3293 KENT DR, BROWNSBURG, IN 46112-5803
(317) 549-8959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F02180983
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300038692
—
IN
Enumeration date
06/06/2018
Last updated
06/10/2022
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