Individual
LILIANE S AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4105 W SAINT CHARLES AVE, PHOENIX, AZ 85041-4980
(480) 228-1228
Mailing address
4105 W SAINT CHARLES AVE, PHOENIX, AZ 85041-4980
(480) 228-1228
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
335532
AZ
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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