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
Fax: (609) 754-9195
Website:

Health care specialties

SpecialtyCodeLicense #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 9 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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