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
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 342151 (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.