Organization · Type 2 NPI
Divine Care Services, LLC
Adult Health Nurse Practitioner · Frederick, MD
NPI number
1225613656
Active
Practice location
174 Thomas Johnson Dr Ste 203L
Frederick, MD 21702-4423
Fax (301) 966-7611
Mailing address
2052 Chamberlain Dr
Frederick, MD 21702-3586
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other adult health nurse practitioner providers in Frederick
About NPI 1225613656
Divine Care Services, LLC's National Provider Identifier is 1225613656, issued on Mar 17, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Frederick, MD. The record was last updated on Oct 30, 2026.