Beverly J Provo, GNPC
Beverly J Provo, GNPC is an Adult Health Nurse Practitioner in Newark, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1208 Driving Park AveNewark, NY 14513-1057
Phone: (315) 359-2640
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Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence F3403661 (NY) |
|---|---|
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence F3041711 (NY) |
Record details
| NPI number | 1215096482 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | GNPC |
| Sole proprietor | No |
| NPI enumerated | December 6, 2006 |
| Last updated in NPPES | January 6, 2011 |
| Mailing address | 1208 Driving Park Ave, Newark, NY 14513-1057 |
Other providers in Newark
-
Shaynon Lee Austin, NP
1200 Driving Park Ave, Newark, NY 14513-1090 · (315) 359-2123
-
Mrs. Caroline Cooper, NP
1208 Driving Park Ave, Newark, NY 14513-1057 · (315) 359-2640
-
Carl Robert Lester, NP
1208 Driving Park Ave, Newark, NY 14513-1057 · (315) 359-2640
-
Karen S. Roth, ANP-BC, ACHPN
1208 Driving Park Ave, Newark, NY 14513-1057 · (315) 359-2640
-
Mr. Craig Alan Weise, MS, ANP
1304 Driving Park Ave, Newark, NY 14513-1059 · (315) 359-2133
-
Laura Wells-Spicer, NP
1200 Driving Park Ave, Newark, NY 14513-1057 · (315) 359-2123