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

Amanda Divine

Individual provider Case Management Registered Nurse · NPI 1124957667

Amanda Divine is a Case Management Registered Nurse in Ranson, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2026

Practice location Address checks out

71 Fuzzy Tail Dr
Ranson, WV 25438-4877
Phone: (304) 350-9975
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence 101997 (WV)

Record details

NPI number1124957667
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 19, 2026
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address71 Fuzzy Tail Dr, Ranson, WV 25438-4877

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