Provider Demographics
NPI:1396029864
Name:AUGUSTIN, CAROLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:
Last Name:AUGUSTIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:CAROLE
Other - Middle Name:
Other - Last Name:AUGUSTIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:182 RUTLAND RD
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-5319
Mailing Address - Country:US
Mailing Address - Phone:516-485-1025
Mailing Address - Fax:
Practice Address - Street 1:182 RUTLAND RD
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-5319
Practice Address - Country:US
Practice Address - Phone:516-485-1025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY428576-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse