Individual
AUGUSTINA CHRISTINE DEFOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, MSN
Contact information
Practice address
201 LYONS AVE STE L4, NEWARK, NJ 07112-2027
(973) 926-7205
(973) 923-8993
Mailing address
1041 SANFORD AVE APT 1, IRVINGTON, NJ 07111-5461
(862) 218-8729
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01101400
NJ
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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