Courtney Agnew, NP
Nurse Practitioner, Pediatrics in New York, NY. Individual provider (NPI-1).
NPI number1336753870
StatusActive
Last updated in NPPESSep 2, 2020
Details
- NPI
- 1336753870
- Entity type
- Individual (NPI-1)
- Name
- Courtney Agnew
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2020
- Certification date
- Sep 2, 2020
- Last updated
- Sep 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 383092 | NY | Yes |
Practice location
15 Warren StNew York, NY 10007-0029
Phone 212-226-7666
Mailing address
120 W 86th St Apt 10aNew York, NY 10024-4011
Phone 216-534-5342
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