institution
Divine Healthcare
Psychiatric/Mental Health Nurse Practitioner in Severn, Maryland
NPI 1780349639

Divine Healthcare is a Psychiatric/Mental Health Nurse Practitioner based in Severn, MD and is specialized in Psychiatric/Mental Health. Divine Healthcare practices in Severn, MD. The NPI Number for Divine Healthcare is 1780349639 and holds a License No. (Maryland).

The current practice location address for Divine Healthcare is 1778 Grande View Ave, Severn, MD and can be reached out via phone at 410-551-5849 and via fax at 410-551-0685. You can also correspond with Divine Healthcare through the mailing address at 1778 GRANDE VIEW AVE, SEVERN, MD - 21144-3333 (mailing address contact number: 410-551-5849).

Location: 1778 Grande View Ave, Severn, MD, 21144-3333
institution
Provider Profile Details
NPI Number
1780349639
Provider Name
Divine Healthcare
Credential
Provider Entity Type
Organization
Address
1778 Grande View Ave, Severn, MD, 21144-3333
Phone Number
410-551-5849
Fax Number
410-551-0685
Provider Enumeration Date
11/05/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1778 Grande View Ave
City
State
Zip
21144-3333
Phone Number
410-551-5849
Fax Number
410-551-0685
person
Provider Business Mailing Address Details
Address
1778 Grande View Ave
City
State
Zip
21144-3333
Phone Number
410-551-5849
Fax Number
410-551-0685
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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