DIVINE REDEMPTION LLC is a family nurse practitioner in Bolivar, MO. DIVINE REDEMPTION LLC NPI is 1790536142. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
112 W BROADWAY SUITE A BOLIVAR, MO ZIP 65613 Phone: (417) 296-4140 Fax: (417) 326-0022
The provider's authorized official is Brandy Divine . The authorized official title is Owner and has the following contact phone number (417) 296-4140.
The enumeration date for this NPI number is 4/1/2024 and was last updated on 4/1/2024.
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:
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
NPI Synchronization or Removal
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