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