Divine Redemption LLC
NPI #1790536142 in Bolivar, Missouri
Provider Information
- NPI Number
- 1790536142
- Entity Type
- Organization
- Organization Name
- Divine Redemption LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Apr 1, 2024
- Last Updated
- Apr 1, 2024
Practice Location
Authorized Official
- Name
- BRANDY DIVINE, DNP
- Title
- OWNER
- Phone
- (417) 296-4140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Addiction Medicine — Addiction Medicine |
| Nurse Practitioner - Family — Family |
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