ERICA DIVINE, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1144633140
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 201230646LPN (OR) |
Frequently Asked Questions
NPI 1144633140 is the National Provider Identifier for ERICA DIVINE, LPN, a Licensed Practical Nurse provider located in Beaverton, OR. This NPI was enumerated on June 6, 2014.
ERICA DIVINE, LPN practices at 14095 SW WALKER RD APT 144, Beaverton, OR 97005.
Quick Facts
- NPI
- 1144633140
- Type
- Individual
- Enumerated
- Jun 6, 2014
- Last Updated
- Jun 6, 2014
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