Agena, Amy L
Agena, Amy L is an individual health care provider with primary practice located at 3540 Village Dr Ste 100 , Lincoln NE 68516-4706. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Agena, Amy L can be contacted via phone (402) 483-3885.Contact Information
Primary practice address
3540 Village Dr Ste 100
Lincoln NE 68516-4706
Phone: (402) 483-3885
Fax: (402) 483-3886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1364 | Nebraska |
Profile Details
| NPI number | 1114195526 |
|---|---|
| LBN Legal business name | Agena, Amy L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2008 |
| Last updated | Dec 17th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114195526 | NPPES |
| Nebraska | Other | 1364 | LICENSE |
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