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NPI Code Detail

MEDICARE: DONNA J AUGUSTINE CNM

MEDICARE: DONNA J AUGUSTINE CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice MidwifeRN 163053OH
2367A00000XAdvanced Practice MidwifeAPRN.CNM.03448OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2H042032OTHEROHOH MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205839313
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA J AUGUSTINE CNM
Provider Business Mailing Address
First Line : 2200 JEFFERSON AVE FL 5
Second Line :
City : TOLEDO
State : OH
Zip : 43604-7102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 E 2ND ST
Second Line :
City : DEFIANCE
State : OH
Zip : 43512-2440
Country : US
Telephone Number : 419-784-1414
Fax Number : 419-783-2799
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 10/01/2019

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Directions to “ DONNA J AUGUSTINE CNM” Practice Location

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