Provider Demographics
NPI:1407448970
Name:TEUSCHER, AUGUST JEAN (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:AUGUST
Middle Name:JEAN
Last Name:TEUSCHER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:AUGUST
Other - Middle Name:JEAN
Other - Last Name:TEUSCHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BOYD
Mailing Address - Street 1:4545 S 6400 W
Mailing Address - Street 2:
Mailing Address - City:HOOPER
Mailing Address - State:UT
Mailing Address - Zip Code:84315-9793
Mailing Address - Country:US
Mailing Address - Phone:801-458-1755
Mailing Address - Fax:
Practice Address - Street 1:570 N MAIN ST
Practice Address - Street 2:
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-1110
Practice Address - Country:US
Practice Address - Phone:801-719-9213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-06
Last Update Date:2021-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9539579-4405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner