Healthcare Provider Details

I. General information

NPI: 1629453444
Provider Name (Legal Business Name): NATALIE M AUGHINBAUGH DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE M BAKKE DNP

II. Dates (important events)

Enumeration Date: 07/22/2015
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3253 42ND ST S STE 100
FARGO ND
58104-6410
US

IV. Provider business mailing address

3253 42ND ST S STE 100
FARGO ND
58104-6410
US

V. Phone/Fax

Practice location:
  • Phone: 701-929-0000
  • Fax: 701-315-8847
Mailing address:
  • Phone: 701-929-0000
  • Fax: 701-315-8847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR33800
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: