ERICA MARIE DIVINE LPN NPI 1144633140

NPI Information

Erica Marie Divine, LPN is a licensed practical nurse in Beaverton, OR. The provider is a licensed practical nurse 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. Erica Marie Divine, LPN NPI is 1144633140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14095 SW WALKER RD APT 144
BEAVERTON, OR
ZIP 97005-075
Phone: (503) 415-1741

The enumeration date for this NPI number is 6/6/2014 and was last updated on 6/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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