Individual
DONNA J AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 784-1414
(419) 783-2799
Mailing address
2200 JEFFERSON AVE FL 5, TOLEDO, OH 43604-7102
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN.CNM.03448
OH
367A00000X
Advanced Practice Midwife
RN 163053
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032419
—
OH
01
—
H042032
OH MEDICARE
OH
Enumeration date
05/23/2005
Last updated
10/01/2019
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