Individual
KAITLIN DIVINNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN224677
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN224677
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174997647
—
GA
Enumeration date
11/21/2015
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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