AMANDA GAIL DIVINE NURSE NPI 1336591049

NPI Information

NPI: 1336591049
Provider Name: AMANDA GAIL DIVINE, NURSE
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
8725 E 32ND ST N
WICHITA, KS
ZIP 67226
Phone: (316) 201-1202
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Amanda Gail Divine, NURSE is a pediatrics nurse practitioner in Wichita, KS. Amanda Gail Divine, NURSE NPI is 1336591049. 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:

8725 E 32ND ST N
WICHITA, KS
ZIP 67226-008
Phone: (316) 201-1202
Fax: (316) 201-1251

The enumeration date for this NPI number is 7/6/2016 and was last updated on 3/11/2020.

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
1	363LP0200X	Nurse Practitioner	Pediatrics	53-78308-011	KANSAS	Yes
2	363LP0200X	Nurse Practitioner	Pediatrics	2016013652	MISSOURI	No

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: 4/28/2024

NPI Synchronization or Removal

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