Kimberly L. Provenzano in Rochester - Nurse Practitioner
Kimberly L. Provenzano - NPI 1104864081
Kimberly L. Provenzano is a Nurse Practitioner in Rochester, New York. Kimberly L. Provenzano practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kimberly L. Provenzano is 1104864081. The last update date is 2023-07-28.
Kimberly L. Provenzano's current location address is 1425 Portland Ave, Rochester, New York. You can contact this provider via phone number 5859224020 and fax number 5859224622. The mailing address for Kimberly L. Provenzano is 1425 Portland Ave, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kimberly L. Provenzano |
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Address | 1425 Portland Ave, Rochester, New York |
Phone Number | 5859224020 |
Fax Number | 5859224622 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1104864081 |
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Provider Enumeration Date | 2006-06-03 |
Last Updated Date | 2023-07-28 |
Provider Mailing Address Detail
Address | 1425 Portland Ave |
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City | Rochester |
State | New York (NY) |
Post Code | 146213001 |
Phone Number | 5859224020 |
Fax Number | 5859224622 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | 370019 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2674220 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kimberly L. Provenzano by the Centers for Medicare & Medicaid Services?
The Kimberly L. Provenzano has been issued the NPI (National Provider Identifier) 1104864081 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kimberly L. Provenzano located?
The Kimberly L. Provenzano is located at 1425 Portland Ave, Rochester, NY 146213001.
What is the Kimberly L. Provenzano's specialty and taxonomy code?
The Kimberly L. Provenzano's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
When did Kimberly L. Provenzano receive its 1104864081 assignment?
The Kimberly L. Provenzano was assigned its 1104864081 on 2006-06-03, which is the date when this unique identifier was issued to the organization.
When was the information related to Kimberly L. Provenzano most recently updated or refreshed?
The details pertaining to the Kimberly L. Provenzano, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-07-28.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY