Individual
STEPHANIE AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6452 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 999-0333
Mailing address
13735 54TH AVE N, PLYMOUTH, MN 55446-1153
(763) 439-4697
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2075295
MN
363LF0000X
Family Nurse Practitioner
Primary
5268
MN
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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