LISA PROVENZANO, N.P.
Nurse Practitioner
Active
Individual
NPI: 1609051135
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 4704150069 (MI) |
Frequently Asked Questions
NPI 1609051135 is the National Provider Identifier for LISA PROVENZANO, N.P., a Nurse Practitioner provider located in Bloomfield Hills, MI. This NPI was enumerated on January 3, 2008.
LISA PROVENZANO, N.P. practices at 359 ENTERPRISE CT SPC B, Bloomfield Hills, MI 48302.
Quick Facts
- NPI
- 1609051135
- Type
- Individual
- Enumerated
- Jan 3, 2008
- Last Updated
- May 23, 2023
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