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Amanda Gail Divine, NURSE
Pediatric Nurse Practitioner in Wichita, Kansas
NPI 1336591049

Amanda Gail Divine is a Pediatric Nurse Practitioner based in Wichita, KS and is specialized in Pediatrics. Amanda Gail Divine practices in Wichita, KS and has the professional credentials of NURSE. The NPI Number for Amanda Gail Divine is 1336591049 and holds a License No. 53-78308-011 (Kansas).

The current practice location address for Amanda Gail Divine is 8725 E 32Nd St N, Wichita, KS and can be reached out via phone at 316-201-1202 and via fax at 316-201-1251.

Location: 8725 E 32Nd St N, Wichita, KS, 67226-4008
person
Provider Profile Details
NPI Number
1336591049
Provider Name
Amanda Gail Divine
Credential
NURSE
Provider Entity Type
Individual
Gender
Female
Address
8725 E 32Nd St N, Wichita, KS, 67226-4008
Phone Number
316-201-1202
Fax Number
316-201-1251
Provider Enumeration Date
07/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8725 E 32Nd St N
City
State
Zip
67226-4008
Phone Number
316-201-1202
Fax Number
316-201-1251
person
Provider Business Mailing Address Details
Address
8725 E 32Nd St N
City
State
Zip
67226-4008
Phone Number
316-201-1202
Fax Number
316-201-1251
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
53-78308-011 (Kansas)
Definition
Definition to come...
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