Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PENNY S DIVITA, DO
ActivePediatrics · CHARLESTON, WV
Registration Details
- NPI Number
- 1598744757
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2006 (20.322557863933 yrs)
- Last Updated
- Jun 23, 2011
- Licenses
-
1461 (WV)1451 (WV)
Practice Information
- Address
-
830 PENNSYLVANIA AVESTE 200CHARLESTON, WV, 253023302Browse WV providers · Browse ZIP 25302
- Phone
- 3043882709
- 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 |
| ARTHUR BRUCE RUBIN | D.O. | 1295798312 |
| SUE ANN UPTON | M.D. | 1922061076 |
| CAROL JOHNSON FRAIL | M.D. | 1295798361 |
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.