Provider Demographics
NPI:1255430039
Name:AUGE, VERNA L (CRNA)
Entity type:Individual
Prefix:
First Name:VERNA
Middle Name:L
Last Name:AUGE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:VERNA
Other - Middle Name:
Other - Last Name:HORNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:1905 RIVERVIEW RD
Mailing Address - Street 2:
Mailing Address - City:ROCK FALLS
Mailing Address - State:IL
Mailing Address - Zip Code:61071-1439
Mailing Address - Country:US
Mailing Address - Phone:956-533-8087
Mailing Address - Fax:
Practice Address - Street 1:1302 FRANKLIN AVE STE 1000
Practice Address - Street 2:
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61761-6506
Practice Address - Country:US
Practice Address - Phone:309-268-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX741056367500000X
MNR1207763367500000X
IL209.025632367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX87233UOtherBCBSTX
MN126G4HOOtherBCBS
MN822909100Medicaid
MN822909100Medicaid
TX8K0334Medicare PIN