Monique Clytie Agustin, FNP-C
Nurse Practitioner, Family in Durham, NC. Individual provider (NPI-1).
NPI number1053971226
StatusActive
Last updated in NPPESJun 19, 2019
Details
- NPI
- 1053971226
- Entity type
- Individual (NPI-1)
- Name
- Monique Clytie Agustin
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2019
- Last updated
- Jun 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | f03190257 | NC | Yes |
Other names
- Monic Clytie Agustin (Former Name)
Practice location
2301 Erwin RdDurham, NC 27705-4699
Phone 919-684-8111
Mailing address
10710 Foremost Dr Apt 410Raleigh, NC 27617-4441
Phone 919-265-9415
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