Augusta Family Practice

NPI #1619375342 in Augusta, Kansas

Provider Information

NPI Number
1619375342
Entity Type
Organization
Organization Name
Augusta Family Practice
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Dec 11, 2014
Last Updated
Dec 11, 2014

Practice Location

Address
1306 STATE ST
State
Kansas
ZIP Code
67010-1126
Phone
(316) 775-9191

Authorized Official

Name
AMANDA JOHNSON
Title
COO
Phone
(316) 775-9191

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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