IndividualActive
Amanda Divine
NPI 1124957667 · Case Management Registered Nurse · Ranson, WV
Provider details
- NPI number
- 1124957667
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 101997 (WV)
Specialties & taxonomies
Nursing Service Providers
Practice location
71 Fuzzy Tail Dr
Ranson, WV 25438-4877
Phone: (304) 350-9975
Approximate (ZIP-level) locationGet directions
Mailing address
71 Fuzzy Tail Dr
Ranson, WV 25438-4877
Registry dates
- Enumerated
- 2026-05-19
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.