Amy Michelle Provenzano, CPNP-PC
Amy Michelle Provenzano, CPNP-PC is a Pediatric Nurse Practitioner in Warren, New Jersey. Licensed in California, New Jersey and Ohio. Registered with an NPI since 2017.
- Licensed in
- CA, NJ, OH
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
67A Mountain Boulevard Ext 1st Fl Unit BWarren, NJ 07059
Phone: (858) 216-8837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence NUR-2023-000730 (NJ) |
|---|---|
| Pediatric Nurse Practitioner | Taxonomy 363LP0200X · Licence APRN.CNP.021402 (OH) |
| Pediatric Nurse Practitioner | Taxonomy 363LP0200X · Licence 95022954 (CA) |
Record details
| NPI number | 1487178687 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CPNP-PC |
| Sole proprietor | No |
| NPI enumerated | July 28, 2017 |
| Last updated in NPPES | February 2, 2023 |
| Certification date | February 1, 2023 |
Other providers in Warren
-
Kathleen Dempsey, PNP
76 Stirling Rd Ste 201, Warren, NJ 07059-5778 · (908) 755-5437
-
Susan Korb, PNP
76 Stirling Rd Ste 201, Warren, NJ 07059-5778 · (908) 755-5437
-
Mj Care Services LLC
2 Timber Ridge Dr, Warren, NJ 07059-6742 · (908) 553-8787
-
MS. Nancy H Montville, PNP
76 Stirling Rd Ste 201, Warren, NJ 07059-5778 · (908) 755-5437