Organization · Type 2 NPI

Divine Healthcare

Family Nurse Practitioner · Severn, MD

NPI number 1003433079 Active

About NPI 1003433079

Divine Healthcare's National Provider Identifier is 1003433079, issued on Jun 25, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Severn, MD. The record was last updated on Nov 5, 2021.