Healthcare Provider Details

I. General information

NPI: 1578166815
Provider Name (Legal Business Name): WENDY JO AUGESON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1282 WALNUT ST
DAWSON MN
56232-2333
US

IV. Provider business mailing address

824 N 11TH ST
MONTEVIDEO MN
56265-1629
US

V. Phone/Fax

Practice location:
  • Phone: 320-312-2145
  • Fax: 320-769-2972
Mailing address:
  • Phone: 320-269-8877
  • Fax: 320-321-8111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number13368
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: