Individual provider · NPI-1

Stephanie Augustin, CNP

Nurse Practitioner, Family · Eden Prairie, MN

NPI number1447772934
StatusActive
Last updated in NPPESJul 17, 2017

Details

NPI
1447772934
Entity type
Individual (NPI-1)
Name
Stephanie Augustin
Credential
CNP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 17, 2017
Last updated
Jul 17, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family5268MNYes
163W00000X Registered Nurse2075295MN

Practice location

6452 City West Pkwy
Eden Prairie, MN 55344-3245

Phone 952-999-0333

Mailing address

13735 54th Ave N
Plymouth, MN 55446-1153

Phone 763-439-4697

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