Individual
DONNA B AUGUSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 BAYONET ST SUITE 304, NEW LONDON, CT 06320
(860) 287-2274
(860) 444-8895
Mailing address
32 GREENCLIFF DR, NIANTIC, CT 06357
(860) 287-2274
(860) 444-8895
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
R38272
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
002142
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4014679
—
CT
05
—
4024972
—
CT
05
—
DA004228723
—
CT
Enumeration date
10/19/2006
Last updated
01/16/2020
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