Individual provider · Type 1 NPI
Erica Marie Divine, LPN
Licensed Practical Nurse · Beaverton, OR
NPI number
1144633140
Active
Practice location
14095 SW Walker Rd Apt 144
Beaverton, OR 97005-1075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 201230646LPN (OR) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1144633140
Erica Marie Divine, LPN's National Provider Identifier is 1144633140, issued on Jun 6, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Beaverton, OR. The record was last updated on Jun 6, 2014.