Search › Colorado › 207ND0101X
Jennifer Divine, MD
NPI 1063779072 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1260 Doctor'S Lane
Fort Collins, CO 80524 - Phone
- (970) 286-2668
- Fax
- (970) 294-4954
Registry record
- Primary taxonomy
- 207ND0101X
207ND0101X
- Also registered as
- 207ND0101X
- Licence states on file
- FL, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado