MRS. DERISE AUGUSTAVE

Licensed Practical Nurse

Active Individual
NPI: 1972295442

Practice Address

155 S CLINTON ST BLDG B
East Orange, NJ 07018

Phone: (914) 268-5537

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 342151 (NY)

Frequently Asked Questions

NPI 1972295442 is the National Provider Identifier for MRS. DERISE AUGUSTAVE, a Licensed Practical Nurse provider located in East Orange, NJ. This NPI was enumerated on May 23, 2023.
MRS. DERISE AUGUSTAVE practices at 155 S CLINTON ST BLDG B, East Orange, NJ 07018.

Quick Facts

NPI
1972295442
Type
Individual
Enumerated
May 23, 2023
Last Updated
May 23, 2023

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