Doctor Name: | MRS. MYRTHA AUGUSTIN |
NPI Number: | 1134526791 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9184269 |
Business Practice Address: | 6447 Lake Worth Rd Greenacres, FL - 334633007 |
Business Phone Number: | 5614331700 |
Business Fax Number: | |
Mailing Address: | 7364 Via Leonardo, LAKE WORTH |
State: | FL |
Postal Code: | 334675241 |
Phone Number: | 5619518093 |
Fax Number: | |
NPI Enumeration Date: | 11/25/2014 |
NPI Last Update Date: | 03/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9184269 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |