Doctor Name: | EVA AUGUSTA |
NPI Number: | 1073861936 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHNP-BC |
License Number: | RN2270391 |
Business Practice Address: | 175 Derby St Suite 21 Hingham, MA - 020434007 |
Business Phone Number: | 7815565662 |
Business Fax Number: | 7818360676 |
Mailing Address: | 175 Derby St, Suite #21 HINGHAM |
State: | MA |
Postal Code: | 020434007 |
Phone Number: | 7815565662 |
Fax Number: | 7818360676 |
NPI Enumeration Date: | 08/27/2012 |
NPI Last Update Date: | 02/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | RN2270391 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |