MEDICARE: AUSTIN GENE PASLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133NN1002X	Nutrition Education Nutritionist	6448938	IL

General Provider Information

NPI Number	:	1215888771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN GENE PASLEY

Provider Business Mailing Address
First Line	:	347 W ELM ST
Second Line	:
City	:	WAVERLY
State	:	IL
Zip	:	62692-1037
Country	:	US
Telephone Number	:	217-381-3733
Fax Number	:

Provider Business Practice Location Address
First Line	:	347 W ELM ST
Second Line	:
City	:	WAVERLY
State	:	IL
Zip	:	62692-1037
Country	:	US
Telephone Number	:	217-381-3733
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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