Provider Demographics
NPI:1508261413
Name:AUGUSTIN, RUTH JOHANNE (MSN, ARNP, ACNPC-AG)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:JOHANNE
Last Name:AUGUSTIN
Suffix:
Gender:F
Credentials:MSN, ARNP, ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 612532
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33261-2532
Mailing Address - Country:US
Mailing Address - Phone:786-267-7346
Mailing Address - Fax:866-646-8533
Practice Address - Street 1:2020 NE 169TH ST APT 204
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-3265
Practice Address - Country:US
Practice Address - Phone:786-267-7346
Practice Address - Fax:866-646-8533
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-04
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0003941-C-NP363LA2100X
GAAPRNGAA-NP000691363LA2100X
MI4704393620363LA2100X
FLARNP9310418363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care