Healthcare Provider Details

I. General information

NPI: 1922963123
Provider Name (Legal Business Name): NATHAN AUGER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

471 CHESTNUT ST
SPRINGFIELD MA
01107-2007
US

IV. Provider business mailing address

417 LIBERTY ST
SPRINGFIELD MA
01104-3736
US

V. Phone/Fax

Practice location:
  • Phone: 413-737-5376
  • Fax:
Mailing address:
  • Phone: 413-301-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2295239
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: