Individual
AGNES EWO MIHNGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 W KING ST, KINGS MTN, NC 28086
(704) 730-8461
(704) 730-8349
Mailing address
3139 SUDBURY RD, CHARLOTTE, NC 28205-4316
(704) 890-7799
(704) 394-3395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010069
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017028672
ANCC
MD
01
—
211009
NCBON
NC
01
—
5010069
NCBON
NC
Enumeration date
12/07/2017
Last updated
06/16/2018
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