Divine Healthcare

NPI #1003433079 in Severn, Maryland

Provider Information

NPI Number
1003433079
Entity Type
Organization
Organization Name
Divine Healthcare
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jun 25, 2020
Last Updated
Nov 5, 2021

Practice Location

Address
1778 GRANDE VIEW AVE
City
Severn
ZIP Code
21144-3333
Phone
(410) 551-5849

Authorized Official

Name
ABIMBOLA HILLARD, FNP-BC
Title
PRESIDENT
Phone
(240) 501-8616

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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