MRS. Renee Patrice Divine
NPI #1245028521 in Fairfield, Connecticut
Provider Information
- NPI Number
- 1245028521
- Entity Type
- Individual
- Name
- MRS. Renee Patrice Divine
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Apr 28, 2025
- Last Updated
- Apr 28, 2025
Practice Location
- Address
- 1073 N BENSON RD
- City
- Fairfield
- State
- Connecticut
- ZIP Code
- 06824-5195
- Phone
- (203) 254-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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