Organization

Divergent Health Wellness-nurse Practitioner In Adult Health

Home Health Agency in Buffalo, NY(View on Map)

Legal Business Name

Divergent Health Wellness-nurse Practitioner In Adult Health

NPI Number

1942944822

NPI Type

Organization

Enumeration Date

04/26/2022

Specialties

(Taxonomies)

Code

251E00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1448
50 FOUNTAIN PLZ

City

Amherst
Buffalo

State

NY
NY

Postal Code

14226-7448
14202-2230

Country

US
US

Telephone Number

(716) 333-8761
(716) 333-8761

Authorized Official

Name

Dumadi Fernandez

Title or Position

OWNER

Telephone Number

(716) 333-8761

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/26/2022

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