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

Individual provider Pediatric Nurse Practitioner · NPI 1336591049

Amanda Gail Divine, NURSE is a Pediatric Nurse Practitioner in Wichita, Kansas. Works from 2 locations. Licensed in Kansas and Missouri.

Licensed in
KS, MO
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

8725 E 32nd St N
Wichita, KS 67226-4008
Phone: (316) 201-1202
Fax: (316) 201-1251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7570 W 21st St N Ste 1006b, Wichita, KS 67205-1773 — (316) 201-1202

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 53-78308-011 (KS)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 2016013652 (MO)

Record details

NPI number1336591049
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSE
Sole proprietorNo
NPI enumeratedJuly 6, 2016
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020

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