Provider Demographics
NPI:1568084770
Name:AUGSBURGER, NICOLE (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:
Last Name:AUGSBURGER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N LA SALLE ST STE 1550
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-1034
Mailing Address - Country:US
Mailing Address - Phone:773-505-7018
Mailing Address - Fax:
Practice Address - Street 1:233 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-3124
Practice Address - Country:US
Practice Address - Phone:773-505-7018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-11
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA168127363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner