| Amanda Divine, | |
|
71 Fuzzy Tail Dr, Ranson, WV 25438-4877 | |
| (304) 350-9975 | |
| Not Available |
| Full Name | Amanda Divine |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Case Management |
| Location | 71 Fuzzy Tail Dr, Ranson, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124957667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0400X | Registered Nurse - Case Management | 101997 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Divine, 71 Fuzzy Tail Dr, Ranson, WV 25438-4877 Ph: (304) 350-9975 | Amanda Divine, 71 Fuzzy Tail Dr, Ranson, WV 25438-4877 Ph: (304) 350-9975 |
Krista Blaylock, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 300 S Preston St, Ranson, WV 25438 Phone: 304-728-1642 | |
Karen Marie Borland, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 285 Ambrose Dr, Ranson, WV 25438 Phone: 412-352-4748 | |
Mrs. Sion Kapinga Mukendi, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 338 Oak Lee Dr, Ranson, WV 25438 Phone: 240-474-8824 | |
Brittany Wellman-ashton, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 103 W 5th Ave, Ranson, WV 25438 Phone: 304-725-4044 |