Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KASEY C DIVINE, CNM
Active Sole ProprietorKASEY C DIVINE, CNM is a Midwife healthcare provider located in BOONTON, New Jersey. NPI 1700131943 is currently active in the NPPES registry. Verify at CMS.
Midwife · BOONTON, NJ
Registration Details
- NPI Number
- 1700131943
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2012 (14.068739854563 yrs)
- Last Updated
- May 10, 2022
- Licenses
-
25MW00001700 (NJ)25ME00075701 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
408 MAIN ST STE 401ABOONTON, NJ, 070051732Browse NJ providers · Browse ZIP 07005
- Phone
- 2012304464
- Fax
- 8667158797
- Primary Specialty
-
Midwife
176B00000X
- Additional Specialty
- Midwife
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.