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NPI Code Detail

MEDICARE: ROSARIO R AUGUSTIN APRN RX

MEDICARE:   ROSARIO R AUGUSTIN  APRN RX
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
1163WP0809XAdult Psychiatric/Mental Health Registered NurseAPRN - RX 450HI

General Provider Information

NPI Number : 1356684658
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSARIO R AUGUSTIN APRN RX
Provider Business Mailing Address
First Line : 7022 NIUMALU LOOP
Second Line :
City : HONOLULU
State : HI
Zip : 96825-1636
Country : US
Telephone Number : 808-381-2658
Fax Number :
Provider Business Practice Location Address
First Line : 7022 NIUMALU LOOP
Second Line :
City : HONOLULU
State : HI
Zip : 96825-1636
Country : US
Telephone Number : 808-381-2658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2013
Last Update Date : 06/15/2026

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Directions to “ ROSARIO R AUGUSTIN APRN RX” Practice Location

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