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AMANDA GAIL DIVINE NURSE
NPI 1336591049
Nurse Practitioner - Pediatrics in Wichita, KS

Active since July 06, 2016
8725 E 32ND ST N, WICHITA, KS 67226(316) 201-1202(316) 201-1251 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Gail Divine Nurse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA GAIL DIVINE NURSE (NPI 1336591049) is an individual pediatrics provider in Wichita, Kansas, licensed in Kansas (53-78308-011) and active in the NPI registry since July 2016. She maintains a secondary practice location in Wichita.

NPPES Registry Identity

NPI1336591049
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameAMANDA GAIL DIVINECredential: NURSE
Location Address8725 E 32ND ST NWichita, KS 67226-4008
Mailing Address8725 E 32nd St NWichita, KS 67226-4008 · (316) 201-1202 · Fax (316) 201-1251
Phone(316) 201-1202
Fax(316) 201-1251
Sole ProprietorNo
Enumeration DateJuly 6, 2016
Last NPPES UpdateMarch 11, 2020
NPPES CertifiedMarch 11, 2020
✔ NPI 1336591049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in KS · 53-78308-011✔ Licensed in MO · 2016013652
8725 E 32ND ST N, Wichita, KS 67226
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Secondary Practice Location 1

Location 17570 W 21st St N Ste 1006BWichita, KS 67205-1773 · Phone (316) 201-1202

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REDBUD PEDIATRICS LLC
Pediatrics
8725 E 32ND ST N
WICHITA, KS 67226
Sedgwick County (316) 201-1202
DR. MELISSA JANE CONROY DO
Pediatrics
8725 E 32ND ST N
WICHITA, KS 67226
Sedgwick County (316) 201-1202
DR. JAMIE HANNAH WOO PAGE MD
Pediatrics
8725 E 32ND ST N
WICHITA, KS 67226
Sedgwick County (316) 201-1202
DR. TRISTA ANNE VANCUREN MD
Pediatrics
8725 E 32ND ST N
WICHITA, KS 67226
Sedgwick County (316) 201-1202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Divine's NPI number?

The NPI number for Amanda Divine is 1336591049. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Where is Amanda Divine located?

Amanda Divine practices at 8725 E 32nd St N, Wichita, KS 67226. The listed phone number is (316) 201-1202.

What is Amanda Divine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Amanda Divine was last updated on March 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.