Andie Elisabeth Divita, PA-C

NPI #1790247435 in Frisco, Texas

Provider Information

NPI Number: 1790247435
Entity Type: Individual
Name: Andie Elisabeth Divita, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 2, 2019
Last Updated: Apr 2, 2019

Practice Location

Address: 5550 WARREN PKWY STE 200
City: Frisco
State: Texas
ZIP Code: 75034-7398
Phone: (214) 755-0066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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