Lisa A. Provance, NP
NPI #1588645378 in Morgantown, West Virginia
Provider Information
- NPI Number
- 1588645378
- Entity Type
- Individual
- Name
- Lisa A. Provance, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Nov 8, 2005
- Last Updated
- Jun 8, 2024
Practice Location
- Address
- PO BOX 897
- City
- Morgantown
- State
- West Virginia
- ZIP Code
- 26507-0897
- Phone
- (304) 285-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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