Individual provider · Type 1 NPI

Augustina Christine Defoe, APN, MSN

Gerontology Nurse Practitioner · Newark, NJ

NPI number 1962091710 Active

Practice location

201 Lyons Ave Ste L4
Newark, NJ 07112-2027

Fax (973) 923-8993

Mailing address

1041 Sanford Ave Apt 1
Irvington, NJ 07111-5461

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X26NJ01101400 (NJ)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1962091710

Augustina Christine Defoe, APN, MSN's National Provider Identifier is 1962091710, issued on Jan 15, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Newark, NJ. The record was last updated on Jan 15, 2021.