Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DIVINEGRACE PRIMARY URGENT CARE IV HYDRATION & WELLNESS CLINIC LLC
NPI 1962302604
Nurse Practitioner - Family in Lanham, MD

Q: 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.

Active since November 06, 2026

9420 ANNAPOLIS RD STE 103, LANHAM, MD 20706(240) 936-5220(240) 436-0043 Get Directions Write a Review

NPPES record added: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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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 1962302604) is a healthcare organization registered as a family in Lanham, Maryland and active in the NPI registry since November 2026. The organization lists Grace Chikezie, Owner, as its authorized official.

NPPES Registry Identity

NPI1962302604

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) 936-5220 · Fax (240) 436-0043

Phone(240) 936-5220

Fax(240) 436-0043

Organization SubpartNo

Authorized OfficialGrace ChikezieOwner · (240) 476-9409

Enumeration DateNovember 6, 2026

NPPES CertifiedNovember 6, 2026

✔ NPI 1962302604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

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

Other Providers at the Same Location NPPES 2

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

GALAXY HEALTH CARE SERVICES LLC

Clinic/Center (Primary Care)

9420 ANNAPOLIS RD STE 103
LANHAM, MD 20706

Prince George's County (240) 938-8532

DIVINEGRACE PRIMARY URGENT CARE IV HYDRATION & WELLNESS CLINIC LLC

Nurse Practitioner (Family)

9420 ANNAPOLIS RD STE 103
LANHAM, MD 20706

Prince George's County (240) 476-9409

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 1962302604. It was assigned to this organization in the NPPES registry on November 6, 2026.

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) 936-5220.

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 November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.