DIVINE DERMATOLOGY AND SURGICAL INSTITUTE, PLLC
NPI 1962164269
Dermatology in Longmont, CO
About Divine Dermatology And Surgical Institute, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINE DERMATOLOGY AND SURGICAL INSTITUTE, PLLC (NPI 1962164269) is a healthcare organization registered as a dermatology in Longmont, Colorado and active in the NPI registry since October 2021. The organization lists Jennifer Michelle Divine, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Divine Dermatology And Surgical Institute, PLLC's NPI number?
The NPI number for Divine Dermatology And Surgical Institute, PLLC is 1962164269. It was assigned to this organization in the NPPES registry on October 13, 2021. The provider is also known as Divine Dermatology.
Where is Divine Dermatology And Surgical Institute, PLLC located?
Divine Dermatology And Surgical Institute, PLLC is located at 1715 Iron Horse Dr Ste 104, Longmont, CO 80501. The listed phone number is (970) 286-2668.
What is Divine Dermatology And Surgical Institute, PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
When was this NPI record last updated?
The NPPES record for Divine Dermatology And Surgical Institute, PLLC was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.