Janice M Agen in Syracuse - Nurse Practitioner

Janice M Agen - NPI 1003063827

Janice M Agen is a Nurse Practitioner in Syracuse, New York. Janice M Agen practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Janice M Agen is 1003063827. The last update date is 2013-08-22.

Janice M Agen's current location address is 90 Presidential Plz, Syracuse, New York. You can contact this provider via phone number 3154645210 and fax number 3154642141. The mailing address for Janice M Agen is 90 Presidential Plz, Syracuse, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Janice M Agen
Address 90 Presidential Plz, Syracuse, New York
Phone Number 3154645210
Fax Number 3154642141
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1003063827
Provider Enumeration Date 2008-08-22
Last Updated Date 2013-08-22

Provider Mailing Address Detail

Address 90 Presidential Plz
City Syracuse
State New York (NY)
Post Code 132022240
Phone Number 3154645210
Fax Number 3154642141

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 421076
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3500736 NY --

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FAQs about Janice M Agen

What is the Janice M Agen's unique identification number?

The Janice M Agen has been assigned the NPI (National Provider Identifier) Number 1003063827 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Janice M Agen's facilities are situated?

The facilities of Janice M Agen are physically located at the following address: 90 Presidential Plz, Syracuse, NY, 132022240.

What is Janice M Agen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Janice M Agen is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1003063827 to Janice M Agen?

The Centers for Medicare & Medicaid Services originally issued the 1003063827 to Janice M Agen on 2008-08-22.

When was the information pertaining to Janice M Agen most recently updated or revised?

The details related to Janice M Agen, including its address, specialty, and other relevant information, were last updated or revised on 2013-08-22.

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