Physician Compare National (NPI:1902988223)

HEALTHCARE PROVIDER: DONNA B AUGUSTO APRN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1902988223
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971689316
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130626000192
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AUGUSTO
	Individual professional last name
Provider First Name	DONNA
	Individual professional first name
Provider Middle Name	BERNADETTE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	400 BAYONET ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 304
	Group Practice or individual's line 2 address
City	NEW LONDON
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	063202600
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8604437505
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LAWRENCE & MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y