Individual provider · Type 1 NPI

Debra M. Divenere, APRN, CPNP

Pediatric Nurse Practitioner · Waterbury, CT

NPI number 1376559492 Active

Practice location

134 Grandview Ave, Suite 208
Waterbury, CT 06708-2507

Call (203) 755-3279 Map

Fax (203) 755-3057

Mailing address

25 Winston Ct
Bristol, CT 06010-2691

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X0002590 (CT)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1376559492

Debra M. Divenere, APRN, CPNP's National Provider Identifier is 1376559492, issued on Jul 31, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Waterbury, CT. The record was last updated on Jul 8, 2007.