Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divine Health LLC

Organization Family Nurse Practitioner · NPI 1871240267

Divine Health LLC provides Family Nurse Practitioner services in Saint Paul, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

625 Snelling Ave N Ste A-2
Saint Paul, MN 55104-2878
Phone: (952) 288-9921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1871240267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Davis — Co-Owner · (952) 288-9921
NPI enumeratedMarch 4, 2022
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022
Mailing address625 Snelling Ave N Ste A-2, Saint Paul, MN 55104-2878

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