Individual provider · NPI-1

Janice M Agen, NP

Nurse Practitioner · Syracuse, NY

NPI number1003063827
StatusActive
Last updated in NPPESAug 22, 2013

Details

NPI
1003063827
Entity type
Individual (NPI-1)
Name
Janice M Agen
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 22, 2008
Last updated
Aug 22, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner421076NYYes

Other names

  • Janice M Giacoppe (Former Name)

Practice location

90 Presidential Plz
3rd Floor
Syracuse, NY 13202-2240

Phone 315-464-5210 · Fax 315-464-2141

Mailing address

90 Presidential Plz
3rd Floor
Syracuse, NY 13202-2240

Phone 315-464-5210 · Fax 315-464-2141

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