Provider Demographics
NPI:1598247926
Name:AUGUSTE, ROSENIE T (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ROSENIE
Middle Name:T
Last Name:AUGUSTE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 PRESS AVE
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062
Mailing Address - Country:US
Mailing Address - Phone:781-521-8666
Mailing Address - Fax:
Practice Address - Street 1:29 BASSET STREET
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02718
Practice Address - Country:US
Practice Address - Phone:508-823-2408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-01
Last Update Date:2018-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN92790164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAHP2385564-05Medicaid
MAHP2385564-05OtherI HAVE HARVARD PILGRIM