Doctor Name: | AMY W AGNEW |
NPI Number: | 1003125618 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 332804 |
Business Practice Address: | 15 Joys Ln Kingston, NY - 124013705 |
Business Phone Number: | 8453315064 |
Business Fax Number: | 8453310492 |
Mailing Address: | 6 Wygant Rd, MARLBORO |
State: | NY |
Postal Code: | 125425148 |
Phone Number: | 8452364028 |
Fax Number: | 8452364028 |
NPI Enumeration Date: | 09/29/2010 |
NPI Last Update Date: | 09/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 332804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |