=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407448970
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AUGUST JEAN TEUSCHER MSN, APRN, FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/06/2021
-----------------------------------------------------
Last Update Date | 09/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1090 W 4150 N
-----------------------------------------------------
City | PLEASANT VIEW
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84414-2226
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-564-4025
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4545 S 6400 W
-----------------------------------------------------
City | HOOPER
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84315-9793
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-458-1755
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 9539579-4405
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------