Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. AGNES LIEM, CPNP-PC, AE-C
ActiveMS. AGNES LIEM, CPNP-PC, AE-C is a Pediatric Nurse Practitioner healthcare provider located in MINOT AFB, North Dakota. NPI 1508097247 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · MINOT AFB, ND
Registration Details
- NPI Number
- 1508097247
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2009 (17.002471515464 yrs)
- Last Updated
- Apr 28, 2016
- Licenses
-
601494-1 (NY)026.0042618 (VT)F382111-1 (NY)R43064 (ND)
Practice Information
- Address
-
10 MISSILE AVEMINOT AFB, ND, 587055003Browse ND providers · Browse ZIP 58705
- Phone
- 7017235138
- Fax
- 6097549195
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Pediatric Nurse Practitioner
- Additional Specialty
- Pediatric Nurse Practitioner
Other Pediatric Nurse Practitioner Providers in MINOT AFB, ND
| Name | Credential | NPI |
|---|---|---|
| JULIANNE LEGIERSE | CPNP-PC | 1821609488 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.