AMANDA DIVINE NPI 1124957667

NPI Information

  • NPI: 1124957667
  • Provider Name: AMANDA DIVINE
  • Classification: Registered Nurse - 163WC0400X
  • Specialization: Case Management
  • Entity Type: Individual
  • Address: 71 FUZZY TAIL DR
    RANSON, WV
    ZIP 25438
  • Phone: (304) 350-9975

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NPI Details

Amanda Divine is a case management registered nurse in Ranson, WV. Amanda Divine NPI is 1124957667. 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:

71 FUZZY TAIL DR
RANSON, WV
ZIP 25438-877
Phone: (304) 350-9975

The enumeration date for this NPI number is 5/19/2026 and was last updated on 5/19/2026.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0400XRegistered NurseCase Management101997WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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