DANIELLE PROVONCHA, CRNA

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1619373248

Practice Address

365 MONTAUK AVE
New London, CT 06320

Phone: (860) 442-0711

Specialties

Specialty Code Primary License
Nurse Anesthetist, Certified Registered 367500000X Yes 6012 (CT)

Frequently Asked Questions

NPI 1619373248 is the National Provider Identifier for DANIELLE PROVONCHA, CRNA, a Nurse Anesthetist, Certified Registered provider located in New London, CT. This NPI was enumerated on November 10, 2014.
DANIELLE PROVONCHA, CRNA practices at 365 MONTAUK AVE, New London, CT 06320.

Quick Facts

NPI
1619373248
Type
Individual
Enumerated
Nov 10, 2014
Last Updated
Oct 30, 2023

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