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Individual

ERICA DIVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 353-5252
Mailing address
5097 KILLION MILL RD, LOOGOOTEE, IN 47553-5071
(812) 709-0015

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM10441
IN

Other

Enumeration date
08/09/2025
Last updated
12/29/2025
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