Individual
MANDY R D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2230 S SPRINGFIELD AVE, STE H, BOLIVAR, MO 65613-9133
(417) 777-4800
(417) 326-7300
Mailing address
2230 S SPRINGFIELD AVE, STE H, BOLIVAR, MO 65613-9133
(417) 777-4800
(417) 326-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20030009032
MO
Other
Enumeration date
04/12/2010
Last updated
04/23/2021
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