Nurse Practitioner, Pediatrics
AMANDA DIVINE Nurse
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1336591049 · enumerated 2016-07-06 · record updated 2020-03-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 8725 E 32ND ST N, WICHITA, KS, 67226-4008 (316) 201-1202 Fax (316) 201-1251 Google Maps Apple Maps OpenStreetMap
- Mailing address 8725 E 32ND ST N, WICHITA, KS, 67226-4008 (316) 201-1202 Fax (316) 201-1251 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 53-78308-011 KS
- Nurse Practitioner, Pediatrics 363LP0200X · License 2016013652 MO
In this directory
Locations and evidence
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Practice location
WICHITA, KS, 672264008
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.