Individual
CHRISTINE RENEE DIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1341 N 7TH AVE, ALTOONA, PA 16601-6208
(814) 931-1179
(814) 931-1179
Mailing address
1341 N 7TH AVE, ALTOONA, PA 16601-6208
(814) 931-1179
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP033174
PA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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