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

Divinia Dewaynia Ellis

Individual provider Case Manager/Care Coordinator · NPI 1972454841

Divinia Dewaynia Ellis is a Case Manager/Care Coordinator in North St Paul, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

2365 McKnight Rd N
North St Paul, MN 55109-2238
Phone: (651) 370-2373
Fax: (651) 370-2373
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (MN)

Record details

NPI number1972454841
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 6, 2026
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 5, 2026
Mailing address8430 Yucca Ln N, Maple Grove, MN 55369-4671

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