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Individual

TARA TRINRUD AUGUSTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4024 CENTRAL AVE, ST PETERSBURG, FL 33711-1239
(727) 327-7656
Mailing address
9100 MLK JR ST N, 1107, ST PETERSBURG, FL 33702-3041
(727) 804-3084

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2887792
FL

Other

Enumeration date
12/19/2009
Last updated
07/13/2011
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