IndividualActive
Agnes Liem, CPNP-PC, AE-C
NPI 1508097247 · Pediatric Nurse Practitioner · Minot Afb, ND
Provider details
- NPI number
- 1508097247
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC, AE-C
- Sex
- Female
- Sole proprietor
- No
- License
- 601494-1 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10 Missile Ave
Minot Afb, ND 58705-5003
Phone: (701) 723-5138
Fax: (609) 754-9195
Approximate (ZIP-level) locationGet directions
Mailing address
194 Missile Ave
Minot Afb, ND 58701
Registry dates
- Enumerated
- 2009-07-29
- Last updated
- 2016-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.