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DIVINEGRACE PRIMARY URGENT CARE IV HYDRATION & WELLNESS CLINIC LLC
NPI 1780466771
Nurse Practitioner - Family in Lanham, MD

Active since October 16, 2023
9420 ANNAPOLIS RD STE 103, LANHAM, MD 20706(240) 476-9409(240) 436-0043 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 22, 2025, Oct 16, 2023 (2 updates tracked since 2023).

About Divinegrace Primary Urgent Care Iv Hydration & Wellness Clinic Llc NPPES

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

DIVINEGRACE PRIMARY URGENT CARE IV HYDRATION & WELLNESS CLINIC LLC (NPI 1780466771) is a healthcare organization registered as a family in Lanham, Maryland and active in the NPI registry since October 2023. The organization lists Grace Chikezie, Owner, as its authorized official.

NPPES Registry Identity

NPI1780466771
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDIVINEGRACE PRIMARY URGENT CARE IV HYDRATION & WELLNESS CLINIC LLC
Location Address9420 ANNAPOLIS RD STE 103Lanham, MD 20706-3033
Mailing Address12912 Crossfield DrBeltsville, MD 20705-6334 · (240) 476-9409
Phone(240) 476-9409
Fax(240) 436-0043
Organization SubpartNo
Authorized OfficialGrace ChikezieOwner · (240) 476-9409
Enumeration DateOctober 16, 2023
Last NPPES UpdateJune 9, 20262 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1780466771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
9420 ANNAPOLIS RD STE 103, Lanham, MD 20706
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Divinegrace Primary Urgent Care IV Hydration & Wellness Clinic LLC's NPI number?

The NPI number for Divinegrace Primary Urgent Care IV Hydration & Wellness Clinic LLC is 1780466771. It was assigned to this organization in the NPPES registry on October 16, 2023.

Where is Divinegrace Primary Urgent Care IV Hydration & Wellness Clinic LLC located?

Divinegrace Primary Urgent Care IV Hydration & Wellness Clinic LLC is located at 9420 Annapolis Rd Ste 103, Lanham, MD 20706. The listed phone number is (240) 476-9409.

What is Divinegrace Primary Urgent Care IV Hydration & Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Divinegrace Primary Urgent Care IV Hydration & Wellness Clinic LLC was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.