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
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10 MISSILE AVE
    MINOT AFB, ND
    ZIP 58705
  • Phone: (701) 723-5138

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NPI Details

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
1163W00000XRegistered Nurse601494-1NEW YORKNo
2163W00000XRegistered Nurse026.0042618VERMONTNo
3363LP0200XNurse PractitionerPediatricsR43064NORTH DAKOTANo
4363LP0200XNurse PractitionerPediatricsF382111-1NEW YORKYes

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: 11/21/2025

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