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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA GAIL DIVINE, NURSE

Active

AMANDA GAIL DIVINE, NURSE is a Pediatric Nurse Practitioner healthcare provider located in WICHITA, Kansas. NPI 1336591049 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · WICHITA, KS

Registration Details

NPI Number
1336591049
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2016 (10.069006889264 yrs)
Last Updated
Mar 11, 2020
Licenses
53-78308-011 (KS)
2016013652 (MO)

Practice Information

Address
8725 E 32ND ST N
WICHITA, KS, 672264008
Browse KS providers · Browse ZIP 67226
Phone
3162011202
Fax
3162011251
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in WICHITA, KS

Name Credential NPI
JENNY S ECORD A.R.N.P. 1033113576
PATRICE K RAWLINS ARNP 1528063328
CYNTHIA MARIE PINKERTON PNP 1912999020
SHARON R TYSON A.R.N.P. 1407869126
RUTH H OLIVERSON ARNP 1316004765
ERIN K BRUBACHER ARNP 1427237924
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.