Lisa MA Provera
Lisa MA Provera is a Registered Nurse in Hartford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2017.
- Licensed in
- CT
- In the registry since
- 2017
Practice location Address checks out
43 Woodland StHartford, CT 06105-2363
Phone: (888) 793-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 122606 (CT) |
|---|
Record details
| NPI number | 1922510536 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 5, 2017 |
| Last updated in NPPES | November 5, 2017 |
| Mailing address | 91 Falknor Dr, Manchester, CT 06040-2642 |
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