Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Juliana Elizabeth Provenzale

Individual provider Physician Assistant · NPI 1760319339

Juliana Elizabeth Provenzale is a Physician Assistant in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2026.

Licensed in
MD
In the registry since
2026

Practice location Address checks out

1800 Orleans St
Baltimore, MD 21287-0010
Phone: (410) 955-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MD)

Record details

NPI number1760319339
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 6, 2026
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

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