Provider Demographics
NPI:1780095653
Name:AUGUSTUS, ROBYN NANETTE (LPN)
Entity type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:NANETTE
Last Name:AUGUSTUS
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 1:8612 GLENWOOD RD
Mailing Address - Street 2:2 ND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3410
Mailing Address - Country:US
Mailing Address - Phone:347-249-9536
Mailing Address - Fax:
Practice Address - Street 1:8612 GLENWOOD RD
Practice Address - Street 2:2 ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3410
Practice Address - Country:US
Practice Address - Phone:347-249-9536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307983164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse