Renee Provost, APRN
NPI #1386970598 in Glastonbury, Connecticut
Provider Information
- NPI Number
- 1386970598
- Entity Type
- Individual
- Name
- Renee Provost, APRN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Clinical Nurse Specialist - Psychiatric/Mental Health, Geropsychiatric
- Credential
- APRN
- Enumeration Date
- Oct 22, 2009
- Last Updated
- Oct 22, 2009
Practice Location
- Address
- 55 NYE RD STE 102
- City
- Glastonbury
- State
- Connecticut
- ZIP Code
- 06033-1281
- Phone
- (860) 657-3056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Nurse Specialist - Psychiatric/Mental Health, Geropsychiatric — Psychiatric/Mental Health, Geropsychiatric |
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