MS. AGNES LIEM CPNP-PC AE-C NPI 1508097247

NPI Information

NPI: 1508097247
Provider Name: MS. AGNES LIEM, CPNP-PC, AE-C
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
10 MISSILE AVE
MINOT AFB, ND
ZIP 58705
Phone: (701) 723-5138
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MS. Agnes Liem, CPNP-PC, AE-C is a pediatrics nurse practitioner in Minot Afb, ND. MS. Agnes Liem, CPNP-PC, AE-C NPI is 1508097247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10 MISSILE AVE
MINOT AFB, ND
ZIP 58705-003
Phone: (701) 723-5138
Fax: (609) 754-9195

The NPI 1508097247 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/29/2009 and was last updated on 4/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		601494-1	NEW YORK	No
2	163W00000X	Registered Nurse		026.0042618	VERMONT	No
3	363LP0200X	Nurse Practitioner	Pediatrics	R43064	NORTH DAKOTA	No
4	363LP0200X	Nurse Practitioner	Pediatrics	F382111-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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