Augustine, Stephanie

Augustine, Stephanie is an individual health care provider with primary practice located at 1852 Ashburn Dr , Goshen IN 46526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Augustine, Stephanie can be contacted via phone (574) 533-5808.

Contact Information

Primary practice address
1852 Ashburn Dr Goshen IN 46526
Phone: (574) 533-5808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71008025A Indiana

Profile Details

NPI number 1609363233
LBN Legal business name Augustine, Stephanie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2018
Last updated Apr 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609363233 NPPES
Indiana MEDICAID 300014673

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