Mr Dante Naigan Agustin Jr, REGISTERED NURSE - Registered Nurse in Fort Defiance, AZ

Mr Dante Naigan Agustin Jr, REGISTERED NURSE is a Registered Nurse - Emergency based in Fort Defiance, Arizona. Mr Dante Naigan Agustin Jr is licensed to practice in Texas (license number 1088630) and his current practice location is Corner Of Routes N12 And N7, Fort Defiance, Arizona. He can be reached at his office (for appointments etc.) via phone at (928) 729-8000.

NPI number for Mr Dante Naigan Agustin Jr is 1114639051 and his current mailing address is 13416 Bear Creek Ln, Conroe, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114639051.

Contact Information

Mr Dante Naigan Agustin Jr, REGISTERED NURSE
Corner Of Routes N12 And N7,
Fort Defiance, AZ 86504-8650
(928) 729-8000
Not Available



Provider's Profile

Full NameMr Dante Naigan Agustin Jr
GenderMale
SpecialityRegistered Nurse - Emergency
LocationCorner Of Routes N12 And N7, Fort Defiance, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114639051
  • Provider Enumeration Date: 12/22/2022
  • Last Update Date: 12/22/2022

Medical Identifiers

Medical identifiers for Mr Dante Naigan Agustin Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114639051NPI-NPPES
1088630OtherTXEMERGENCY ROOM REGISTERED NURSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 1088630 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Dante Naigan Agustin Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Dante Naigan Agustin Jr, REGISTERED NURSE
13416 Bear Creek Ln,
Conroe, TX 77384-2034

Ph: (217) 981-2928
Mr Dante Naigan Agustin Jr, REGISTERED NURSE
Corner Of Routes N12 And N7,
Fort Defiance, AZ 86504-8650

Ph: (928) 729-8000

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Registered Nurse Nurses in Fort Defiance, AZ

Tamara M. Peacock, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: Corner Route 7 And Route 12, Fort Defiance, AZ 86504
Phone: 928-729-8600    
Edith Edie Kline, REGISTERED NURSE
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: Corner Of Routes N12 & N7, Fort Defiance, AZ 86501
Phone: 928-729-8469    Fax: 928-729-8498
Lilia Janzen-trotsyuk,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: Corner Of Rte 12 And, Rte 7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Anthony Daep Magdadaro,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: Route N12 & N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Jamie Noel Fontaine,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: Corner Route 7 And Route 12, Fort Defiance, AZ 86504
Phone: 928-729-8600    
Susan Hazard, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: Corner Of Routes N7 And N12, Fort Defiance, AZ 86504
Phone: 928-729-8600    
Daniel Mitchell,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: Corner Route 7 And Route 12, Fort Defiance, AZ 86504
Phone: 928-729-8600    

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