person
Tarrah Divine, FNP
Family Nurse Practitioner in Springfield, Missouri
NPI 1154745537

Tarrah Divine is a Family Nurse Practitioner based in Springfield, MO and is specialized in Family. Tarrah Divine practices in Springfield, MO and has the professional credentials of FNP. The NPI Number for Tarrah Divine is 1154745537 and holds a License No. 2014003646 (Missouri).

The current practice location address for Tarrah Divine is 2115 S Fremont Ave, Springfield, MO and can be reached out via phone at 417-820-3911 and via fax at 417-820-3924.

Location: 2115 S Fremont Ave, Springfield, MO, 65804
person
Provider Profile Details
NPI Number
1154745537
Provider Name
Tarrah Divine
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2115 S Fremont Ave, Springfield, MO, 65804
Phone Number
417-820-3911
Fax Number
417-820-3924
Provider Enumeration Date
02/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2115 S Fremont Ave
City
State
Zip
65804-2239
Phone Number
417-820-3911
Fax Number
417-820-3924
person
Provider Business Mailing Address Details
Address
2115 S Fremont Ave
City
State
Zip
65804-2239
Phone Number
417-820-3911
Fax Number
417-820-3924
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2014003646 (Missouri)
Definition
Definition to come...
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