Provider Demographics
NPI:1356684658
Name:AUGUSTIN, ROSARIO R (APRN RX)
Entity Type:Individual
Prefix:
First Name:ROSARIO
Middle Name:R
Last Name:AUGUSTIN
Suffix:
Gender:F
Credentials:APRN RX
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7022 NIUMALU LOOP
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1636
Mailing Address - Country:US
Mailing Address - Phone:808-381-2658
Mailing Address - Fax:
Practice Address - Street 1:7022 NIUMALU LOOP
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1636
Practice Address - Country:US
Practice Address - Phone:808-381-2658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN - RX 450163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult