Marissa Provencher
Marissa Provencher is an Ambulatory Care Registered Nurse in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2026.
- Licensed in
- MA
- In the registry since
- 2026
Practice location Address checks out
930 Commonwealth AveBoston, MA 02215-1274
Phone: (617) 414-6800
Fax: (617) 414-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Care Registered Nurse (primary) | Taxonomy 163WP2201X · Licence RN2343674 (MA) |
|---|
Record details
| NPI number | 1023966934 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 17, 2026 |
| Last updated in NPPES | March 17, 2026 |
| Certification date | March 17, 2026 |
| Mailing address | 1 Arbroth St, Boston, MA 02122-2511 |
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