Individual
MICHELE AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
US HWY 160, S MP 364.3, KAYENTA, AZ 86033-0368
(928) 697-4000
Mailing address
US HWY 160, S MP 364.3, KAYENTA, AZ 86033-0368
(928) 697-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2761872
FL
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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