Amy Michelle Provenzano, CPNP-PC
NPI #1487178687 in Warren, New Jersey
Provider Information
- NPI Number
- 1487178687
- Entity Type
- Individual
- Name
- Amy Michelle Provenzano, CPNP-PC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- CPNP-PC
- Enumeration Date
- Jul 28, 2017
- Last Updated
- Feb 2, 2023
Practice Location
- Address
- 67A MOUNTAIN BOULEVARD EXT
- Address 2
- 1ST FLOOR, UNIT B
- City
- Warren
- State
- New Jersey
- ZIP Code
- 07059
- Phone
- (858) 216-8837
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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