Gardith Augustin

Individual provider Active NPI Licensed Practical Nurse · Spring Valley, NY

NPI 1821374786 · NPPES record last updated Oct 24, 2011

Key facts

NPI
1821374786
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
297469-1 (NY)
Practice address
50 Franklin CT
Spring Valley, NY 10977-5037
Phone
(845) 290-0029
NPI assigned
Oct 24, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
297469-1NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 297469-1 NY Yes

Addresses

Primary practice location

50 Franklin CT
Spring Valley, NY 10977-5037

Mailing address

50 Franklin CT
Spring Valley, NY 10977-5037
Phone (845) 290-0029

Other providers in Spring Valley, NY

All providers in Spring Valley, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.