Nicole Kristine Divita
Nicole Kristine Divita is a Community Health Worker in Grand Rapids, Michigan. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1115 Ball Ave NEGrand Rapids, MI 49505-5904
Phone: (616) 456-6571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1669259099 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 11, 2023 |
| Last updated in NPPES | September 11, 2023 |
| Certification date | September 10, 2023 |
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