Individual
ANNIE AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CELLINI PL STE 102, WEST HAVEN, CT 06516-1666
(203) 932-6481
(203) 932-4051
Mailing address
1 CELLINI PL STE 102, WEST HAVEN, CT 06516-1666
(203) 932-6481
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
13337
CT
363LG0600X
Gerontology Nurse Practitioner
13337
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
13337
CT
Other
Enumeration date
06/14/2024
Last updated
01/16/2026
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