Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divine Health LLC

Organization Family Nurse Practitioner · NPI 1871240267

Divine Health LLC is a Family Nurse Practitioner in Saint Paul, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

625 Snelling Ave N Ste A-2
Saint Paul, MN 55104-2878
Phone: (952) 288-9921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1871240267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Davis — Co-Owner · (952) 288-9921
NPI enumeratedMarch 4, 2022
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022
Mailing address625 Snelling Ave N Ste A-2, Saint Paul, MN 55104-2878

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