MS. Phyllis Provost, APRN
NPI #1972656783 in Hauppauge, New York
Provider Information
- NPI Number
- 1972656783
- Entity Type
- Individual
- Name
- MS. Phyllis Provost, APRN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - Psychiatric/Mental Health
- Credential
- APRN
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
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