Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JENNIFER DIVITA, D.O.
ActivePediatrics · CHARLESTON, WV
Registration Details
- NPI Number
- 1063646529
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 12, 2009 (17.004745829402 yrs)
- Last Updated
- Feb 19, 2013
- License
-
2474 (WV)
Practice Information
- Address
-
830 PENNSYLVANIA AVESTE 200CHARLESTON, WV, 253023302Browse WV providers · Browse ZIP 25302
- Phone
- 3043882709
- Fax
- 3043441755
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY SUE CROSS | MD | 1689671406 |
| DR. LISBETTE POLANCO | M.D. | 1194724922 |
| DR. BONNIE BAILEY | MD | 1699753335 |
| PENNY S DIVITA | DO | 1598744757 |
| ARTHUR BRUCE RUBIN | D.O. | 1295798312 |
| SUE ANN UPTON | M.D. | 1922061076 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.