Individual provider · Type 1 NPI

Derise Augustave

Licensed Practical Nurse · East Orange, NJ

NPI number 1972295442 Active

Practice location

155 S Clinton St Bldg B
East Orange, NJ 07018-3039

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X342151 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1972295442

Derise Augustave's National Provider Identifier is 1972295442, issued on May 23, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in East Orange, NJ. The record was last updated on May 23, 2023.