Amy L. Agena PA-C - Medical Physician Assistant in Lincoln, Nebraska | ProviderWire

Full Name

Amy L Agena PA-C

NPI Number

1114195526

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/19/2008

Specialties

(Taxonomies)

Name

Medical Physician Assistant

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Nebraska

License Number

1364

Contact
Information

Purpose

Mailing

Location

Address

3540 VILLAGE DR STE 100

3540 VILLAGE DR STE 100

City

Lincoln

Lincoln

State

NE

NE

Postal Code

68516-4706

68516-4706

Country

US

US

Telephone Number

(402) 483-3885

(402) 483-3885

Identifiers

Identifier

1364

Identifier State

NE

Identifier Issuer

LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/17/2021

Provider Address

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