Divinia Dewaynia Ellis
NPI #1972454841 in North St Paul, Minnesota
Provider Information
- NPI Number
- 1972454841
- Entity Type
- Individual
- Name
- Divinia Dewaynia Ellis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 6, 2026
- Last Updated
- Feb 6, 2026
Practice Location
- Address
- 2365 MCKNIGHT RD N
- City
- North St Paul
- State
- Minnesota
- ZIP Code
- 55109-2238
- Phone
- (651) 370-2373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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