Individual provider · NPI-1

Alison Agemak, NP

Nurse Practitioner · Ann Arbor, MI

NPI number1740001841
StatusActive
Last updated in NPPESDec 16, 2024

Details

NPI
1740001841
Entity type
Individual (NPI-1)
Name
Alison Agemak
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 21, 2024
Certification date
Dec 16, 2024
Last updated
Dec 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner4704354881MIYes
363LP0200X Nurse Practitioner, Pediatrics4704354881MI

Practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Phone 734-936-4000

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633

Phone 734-647-5299

Other practice locations

1540 E Hospital Dr
Ann Arbor, MI 48109-4000

Phone 734-363-3788

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