Individual
ANNIE AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 CAPITAL BLVD FL 3, ROCKY HILL, CT 06067-3576
(860) 502-9899
Mailing address
14 BANCROFT LN, SOUTH WINDSOR, CT 06074-2463
(860) 528-2565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005541
CT
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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