Liem, Agnes
Liem, Agnes is an individual health care provider with primary practice located at 10 Missile Ave , Minot Afb ND 58705-5003. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Liem, Agnes can be contacted via phone (701) 723-5138.Contact Information
Primary practice address
10 Missile Ave
Minot Afb ND 58705-5003
Phone: (701) 723-5138
Fax: (609) 754-9195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 601494-1 | New York |
| Nursing Service Providers / Registered Nurse | 163W00000X | 026.0042618 | Vermont |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F382111-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R43064 | North Dakota |
Profile Details
| NPI number | 1508097247 |
|---|---|
| LBN Legal business name | Liem, Agnes |
| Credentials | CPNP-PC, AE-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2009 |
| Last updated | Apr 28th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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