Augustave, Derise

Augustave, Derise is an sole proprietor health care provider with primary practice located at 155 S Clinton St Bldg B , East Orange NJ 07018-3039. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Augustave, Derise can be contacted via phone (914) 268-5537.

Contact Information

Primary practice address
155 S Clinton St Bldg B East Orange NJ 07018-3039
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 342151 New York

Profile Details

NPI number 1972295442
LBN Legal business name Augustave, Derise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2023
Last updated May 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers