Individual provider · Type 1 NPI
Tarrah Divine, FNP
Family Nurse Practitioner · Springfield, MO
NPI number
1154745537
Active
Practice location
2115 S Fremont Ave, Ste 4300
Springfield, MO 65804-2239
Fax (417) 820-3924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2014003646 (MO) |
Family Nurse Practitioner: Definition to come...
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- Gabrielle Ruthann Bonner, NPFamily Nurse Practitioner Springfield, MO NPI 1013681832
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About NPI 1154745537
Tarrah Divine, FNP's National Provider Identifier is 1154745537, issued on Feb 6, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, MO. The record was last updated on Aug 10, 2017.