Provider Demographics
NPI:1881850691
Name:AUGUSTE, NADINE MARY
Entity Type:Individual
Prefix:MS
First Name:NADINE
Middle Name:MARY
Last Name:AUGUSTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 BALL TER
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-1804
Mailing Address - Country:US
Mailing Address - Phone:917-576-0805
Mailing Address - Fax:
Practice Address - Street 1:38 BALL TER
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-1804
Practice Address - Country:US
Practice Address - Phone:917-576-0805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-31
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY430420163W00000X
NY523821163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse