Provider Demographics
NPI:1740457431
Name:AUGUSTIN-MACHULSKI, CICLEY ANGELA (RN,)
Entity type:Individual
Prefix:MRS
First Name:CICLEY
Middle Name:ANGELA
Last Name:AUGUSTIN-MACHULSKI
Suffix:
Gender:F
Credentials:RN,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2495 WESTMONT LN
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-6137
Mailing Address - Country:US
Mailing Address - Phone:561-753-9571
Mailing Address - Fax:561-753-9571
Practice Address - Street 1:213 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-3823
Practice Address - Country:US
Practice Address - Phone:561-640-0013
Practice Address - Fax:561-471-1966
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9215547163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse