Mrs. Courtney Ann Provine, CRNP
Mrs. Courtney Ann Provine, CRNP is a Family Nurse Practitioner in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.
- Licensed in
- PA
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- CRNP — Certified Registered Nurse Practitioner
- The title Pennsylvania and some other states use for a nurse practitioner.
Practice location Address checks out
3400 Civic Center Blvd 2 SPhiladelphia, PA 19104
Phone: (215) 615-0718
Fax: (215) 349-8309
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence SP021617 (PA) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence SP014616 (PA) |
Record details
| NPI number | 1497153472 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CRNP |
| Sole proprietor | No |
| NPI enumerated | December 8, 2014 |
| Last updated in NPPES | November 15, 2021 |
| Certification date | November 15, 2021 |
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