BARBARA AGBO NP
NPI 1700393436
Nurse Practitioner - Family in Roseville, MN

Q: What is Barbara Agbo's NPI number?

The NPI number for Barbara Agbo is 1700393436. It was assigned to this individual provider in the NPPES registry on January 3, 2018.

Q: What is Barbara Agbo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Barbara Agbo was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 03, 2018

2786 FAIRVIEW AVE N, ROSEVILLE, MN 55113(763) 412-1999 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2024, Nov 8, 2024, Feb 13, 2020 (3 updates tracked since 2020).

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About Barbara Agbo Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BARBARA AGBO NP (NPI 1700393436) is an individual family provider in Roseville, Minnesota, licensed in Minnesota (5581) and active in the NPI registry since January 2018. She maintains a secondary practice location in Andover.

NPPES Registry Identity

NPI1700393436

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBARBARA AGBOCredential: NP

Location Address2786 FAIRVIEW AVE NRoseville, MN 55113-1306

Mailing Address13424 Hanson Blvd NwAndover, MN 55304-4011 · (612) 584-0025 · Fax (763) 402-7746

Phone(763) 412-1999

Sole ProprietorNo

Enumeration DateJanuary 3, 2018

Last NPPES UpdateNovember 11, 20243 updates tracked since enumeration

NPPES CertifiedNovember 11, 2024

✔ NPI 1700393436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · 5581

2786 FAIRVIEW AVE N, Roseville, MN 55113

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Secondary Practice Location 1

Location 113424 Hanson Blvd NWAndover, MN 55304-4011 · Phone (612) 584-0025 · Fax (763) 402-7746

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUSTIN TODD MUCHOW MA, LMFT

Marriage & Family Therapist