MS. Agnes Liem, CPNP-PC, AE-C
NPI #1508097247 in Minot Afb, North Dakota
Provider Information
- NPI Number
- 1508097247
- Entity Type
- Individual
- Name
- MS. Agnes Liem, CPNP-PC, AE-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- CPNP-PC, AE-C
- Enumeration Date
- Jul 29, 2009
- Last Updated
- Apr 28, 2016
Practice Location
- Address
- 10 MISSILE AVE
- City
- Minot Afb
- State
- North Dakota
- ZIP Code
- 58705-5003
- Phone
- (701) 723-5138
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Pediatrics — Pediatrics |
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