Individual provider · Type 1 NPI

Stacyrae Viason Agusto

Nurse Practitioner · Bakersfield, CA

NPI number 1174329403 Active

Practice location

8501 Brimhall Rd Bldg 100
Bakersfield, CA 93312-2327

Call (661) 370-0777 Map

Fax (661) 654-8366

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95034047 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174329403

Stacyrae Viason Agusto's National Provider Identifier is 1174329403, issued on Feb 19, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bakersfield, CA. The record was last updated on Sep 24, 2025.