Provider Demographics
NPI:1073405981
Name:AUGUSTYN, NADINE R
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:R
Last Name:AUGUSTYN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 S 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:BROKEN BOW
Mailing Address - State:NE
Mailing Address - Zip Code:68822-3037
Mailing Address - Country:US
Mailing Address - Phone:308-872-6303
Mailing Address - Fax:
Practice Address - Street 1:1020 S 2ND AVE
Practice Address - Street 2:
Practice Address - City:BROKEN BOW
Practice Address - State:NE
Practice Address - Zip Code:68822-3037
Practice Address - Country:US
Practice Address - Phone:308-872-6303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker