Provider Demographics
NPI:1740085620
Name:USUGA, EWELINA (APRN)
Entity type:Individual
Prefix:
First Name:EWELINA
Middle Name:
Last Name:USUGA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:EWELINA
Other - Middle Name:
Other - Last Name:DEMBINSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:351 FIELD FLOWER WAY
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092-7675
Mailing Address - Country:US
Mailing Address - Phone:860-951-1564
Mailing Address - Fax:
Practice Address - Street 1:263 RIVER HILLS DR STE 3
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-8980
Practice Address - Country:US
Practice Address - Phone:904-222-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-15
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11037693363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner