NPIRadar

Ngufor Fube Divine, CRNP-PMH Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Fort Sam Houston, TX

NPI
1669197208
Type
Individual (Type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363LP0808X
License number
R241388 (MD)
Sex
Male
Sole proprietor
Yes
Enumerated
2022-10-06
Last updated
2025-11-19
Practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
(210) 808-1859

Find more providers