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Individual

BRITTANY PROVENZANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, NP

Contact information

Practice address
795 BRIDGEPORT AVE, SUITE A, SHELTON, CT 06484
(860) 650-3848
Mailing address
6 WILLIAMSBURG DR, MONROE, CT 06468-2507
(203) 650-3168

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
348683
NY
363LF0000X
Family Nurse Practitioner
Primary
7356
CT
363LF0000X
Family Nurse Practitioner
RN2342809
MA

Other

Enumeration date
08/14/2017
Last updated
03/14/2025
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