Healthcare Provider Details

I. General information

NPI: 1780019307
Provider Name (Legal Business Name): BRITTANY MARIE AUGUSTYN APRN-NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2013
Last Update Date: 04/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2124 N LAFAYETTE AVE
GRAND ISLAND NE
68803-2048
US

IV. Provider business mailing address

2124 N LAFAYETTE AVE
GRAND ISLAND NE
68803-2048
US

V. Phone/Fax

Practice location:
  • Phone: 308-384-2265
  • Fax: 308-384-2243
Mailing address:
  • Phone: 308-384-2265
  • Fax: 308-384-2243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number111570
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number111570
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: