Provider Demographics
NPI:1225752892
Name:BATTLE, DIVONYA
Entity Type:Individual
Prefix:
First Name:DIVONYA
Middle Name:
Last Name:BATTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4024 BARRETT DR STE 201D
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6625
Mailing Address - Country:US
Mailing Address - Phone:919-526-0627
Mailing Address - Fax:
Practice Address - Street 1:4024 BARRETT DR STE 201D
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6625
Practice Address - Country:US
Practice Address - Phone:919-526-0627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide