Individual provider · Type 1 NPI
Amanda Divine
Case Management Registered Nurse · Ranson, WV
NPI number
1124957667
Active
Practice location
71 Fuzzy Tail Dr
Ranson, WV 25438-4877
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 101997 (WV) |
Case Management Registered Nurse: Definition to come...
Other case management registered nurse providers in Ranson
About NPI 1124957667
Amanda Divine's National Provider Identifier is 1124957667, issued on May 19, 2026. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Ranson, WV. The record was last updated on May 19, 2026.