Janice M Agen
Nurse Practitioner
90 Presidential Plz 3rd Floor
Syracuse
, New York 13202-2240
Janice M Agen
Nurse Practitioner
90 Presidential Plz 3rd Floor
Syracuse
, New York 13202-2240
(315) 464-2141
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Janice M Agen
- 90 Presidential Plz 3rd Floor
- Syracuse, NY
- Zip : 13202-2240
- Fax : (315) 464-2141
- Phone : (315) 464-5210
Second Address
- Janice M Agen
- 90 Presidential Plz 3rd Floor
- Syracuse, NY
- Zip : 13202-2240
- Fax : (315) 464-2141
- Phone : (315) 464-5210
Reviews
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Is Janice M Agen a sole practitioner?
Is Janice M Agen accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 421076 | NY |
National Provider Identifier
| NPI | 1003063827 |
|---|---|
| Provider Name | Janice M Agen |
| First Address | Syracuse, NY 13202-2240 |
| Second Address | Syracuse, NY 13202-2240 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2008 |
| Last Update Date | 22/08/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03500736 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.