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DONNA B AUGUSTO APRN
Psychiatric/Mental Health, Adult >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1902988223
Individual Registrant: DONNA B AUGUSTO APRN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
400 BAYONET ST SUITE 304 NEW LONDON, CT 06320 US
Tel: 860-287-2274 Fax: 860-444-8895
Tel: 860-287-2274 Fax: 860-444-8895
Contact information for business:
32 GREENCLIFF DR NIANTIC, CT 06357 US
Tel: 860-287-2274 Fax: 860-444-8895
Tel: 860-287-2274 Fax: 860-444-8895
Registration Information:
NPI: 1902988223
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 163WP0809X | Nursing Service Providers Registered Nurse Psychiatric/Mental Health, Adult | CT | R38272 |
| Y | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CT | 002142 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 4014679 | CT | 05 | |
| DA004228723 | CT | 05 | |
| 4024972 | CT | 05 |
