Individual
DUSTIN B AUGENSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1801 N SENATE BLVD MPC2#3300, INDIANAPOLIS, IN 46202-1228
(317) 923-1787
(317) 962-0262
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71004052A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71004052A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000835759
ANTHEM PTAN
IN
01
—
000000835914
ANTHEM PTAN
IN
01
—
000000835921
ANTHEM PTAN
IN
01
—
1386907996
ANTHEM PTAN
IN
05
—
201097100
—
IN
Enumeration date
06/19/2012
Last updated
04/23/2025
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