Individual
NINA AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 CAMINO SIERRA VIS, SANTA FE, NM 87505-1007
(505) 467-2504
Mailing address
601 W SAN MATEO RD, UNIT 115, SANTA FE, NM 87505-3935
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R27047
NM
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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