MS. KELLY PROVENCHER, RN,MSN,BC

Nurse Practitioner - Adult Health

Active Individual
NPI: 1790898252

Practice Address

1400 VFW PKWY
West Roxbury, MA 02132

Phone: (617) 323-7700

Specialties

Specialty Code Primary License
Nurse Practitioner - Adult Health 363LA2200X Yes 234648 (MA)

Frequently Asked Questions

NPI 1790898252 is the National Provider Identifier for MS. KELLY PROVENCHER, RN,MSN,BC, a Nurse Practitioner - Adult Health provider located in West Roxbury, MA. This NPI was enumerated on August 17, 2006.
MS. KELLY PROVENCHER, RN,MSN,BC practices at 1400 VFW PKWY, West Roxbury, MA 02132.

Quick Facts

NPI
1790898252
Type
Individual
Enumerated
Aug 17, 2006
Last Updated
Jul 8, 2007

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