CASEY DIVELY, NP-C
Nurse Practitioner - Family
Active
Individual
NPI: 1386171809
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 209015986041408044 (IL) |
Frequently Asked Questions
NPI 1386171809 is the National Provider Identifier for CASEY DIVELY, NP-C, a Nurse Practitioner - Family provider located in Taylorville, IL. This NPI was enumerated on May 15, 2017.
CASEY DIVELY, NP-C practices at 1304 BURNETT DR, Taylorville, IL 62568.
Quick Facts
- NPI
- 1386171809
- Type
- Individual
- Enumerated
- May 15, 2017
- Last Updated
- Jan 13, 2025
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