Individual provider · Type 1 NPI
Ngufor Fube Divine, CRNP-PMH
Psychiatric/Mental Health Nurse Practitioner · Fort Sam Houston, TX
NPI number
1669197208
Active
Practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
9001 Harford Rd
Parkville, MD 21234-4029
Other practice locations
- 8210 Jeremiah Ln, Columbia, MD 21044-4165 · (240) 423-8757
- 8713 Harford Rd Ste 102, Parkville, MD 21234-4650 · (443) 230-2285
- 9001 Harford Rd, Parkville, MD 21234-4029 · (240) 423-8757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R241388 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1669197208
Ngufor Fube Divine, CRNP-PMH's National Provider Identifier is 1669197208, issued on Oct 6, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Nov 19, 2025.