Individual
ANGELA AGYEIWAA OPUNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FPMHNP
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804
(417) 761-5000
(417) 761-5065
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018027890
MO
363LF0000X
Family Nurse Practitioner
4704300922
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420064287
—
MO
01
—
CAQH
13848626
MO
Enumeration date
06/06/2016
Last updated
09/16/2021
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