Provider Demographics
NPI:1730761016
Name:AUGUSTIN, MARGARETTE (ARNP)
Entity type:Individual
Prefix:MS
First Name:MARGARETTE
Middle Name:
Last Name:AUGUSTIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20222 SW 52ND PL
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33332-1568
Mailing Address - Country:US
Mailing Address - Phone:754-252-9151
Mailing Address - Fax:
Practice Address - Street 1:20222 SW 52ND PL
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33332-1568
Practice Address - Country:US
Practice Address - Phone:754-252-9151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11012317363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health