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Kathy A Divine
Family Nurse Practitioner in Springfield, Missouri
NPI 1730622705

Kathy A Divine is a Family Nurse Practitioner based in Saint Louis, MO and is specialized in Family. Kathy A Divine practices in Springfield, MO. The NPI Number for Kathy A Divine is 1730622705 and holds a License No. 079888 (Missouri).

The current practice location address for Kathy A Divine is 1235 E Cherokee St, Springfield, MO and can be reached out via phone at 417-820-2600.

Location: 1235 E Cherokee St, Springfield, MO, 63150-5164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730622705
Provider Name
Kathy A Divine
Credential
Provider Entity Type
Individual
Gender
Female
Address
1235 E Cherokee St, Springfield, MO, 63150-5164
Phone Number
417-820-2600
Fax Number
Provider Enumeration Date
11/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 MO
PENDING 05 AR
PENDING 05 OK
institution
Provider Business Practice Location Address Details
Address
1235 E Cherokee St
City
Springfield
State
Missouri
Zip
65804-2203
Phone Number
417-820-2600
Fax Number
person
Provider Business Mailing Address Details
Address
1235 E Cherokee St
City
Springfield
State
Missouri
Zip
65804-2203
Phone Number
417-820-2600
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
-
Taxonomy
163W00000X
License No.
2017003053 (Missouri)
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
079888 (Missouri)
Definition
Definition to come...
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