Provider Demographics
NPI:1306499025
Name:AUGUSTIN, CHRISTEL-ANN B (FNP)
Entity type:Individual
Prefix:
First Name:CHRISTEL-ANN
Middle Name:B
Last Name:AUGUSTIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 DICKENS ST
Mailing Address - Street 2:
Mailing Address - City:STONY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10980-3653
Mailing Address - Country:US
Mailing Address - Phone:845-323-7187
Mailing Address - Fax:
Practice Address - Street 1:263 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3762
Practice Address - Country:US
Practice Address - Phone:845-425-9600
Practice Address - Fax:845-425-9602
Is Sole Proprietor?:No
Enumeration Date:2019-07-22
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY736510163W00000X
NY349420363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse