NPI 1023027869

Dolly Osas Agba, NURSEPRACTITIONER

Practitioner Adult Health Nurse Practitioner Joliet, IL

Practice location

Address: 1106 Neal Ave, Joliet, IL 60433-2548
Phone: (815) 727-8670
Fax: (815) 740-8149
Mailing address: 908 Shiloh CT, Joliet, IL 60431-9307

Registered specialties

Adult Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence 209-006082 (IL)

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Registry record

NPI: 1023027869
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.