Individual provider · Type 1 NPI
Mark Perez Agustin, ACNP
Nurse Practitioner · Evanston, IL
Practice location
2650 Ridge Ave., Dept. Of Anesthesia
Evanston, IL 60201-1057
Fax (847) 570-2921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209019626 (IL) |
| Nurse Practitioner Primary | 363L00000X | 209019626 (IL) |
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 1730855677
Mark Perez Agustin, ACNP's National Provider Identifier is 1730855677, issued on Aug 20, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Evanston, IL. The record was last updated on Sep 17, 2021.