# ANDRE AUGUSTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1376291013
- **Gender:** Man
- **Credential:** APN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | 26NJ01282100 | NJ | — |
| 363LG0600X | Gerontology Nurse Practitioner | 26NJ01282100 | NJ | Yes |

## Other

- **Enumeration date:** 03/11/2022
- **Last updated:** 04/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 26NJ01282100 | NP | NJ |