Individual
LAURIE PROVOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN FNP-BC
Contact information
Practice address
1001 THORNDIKE ST, PALMER, MA 01069-1501
(413) 283-2545
Mailing address
1001 THORNDIKE ST, PALMER, MA 01069-1501
(413) 283-2545
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN204295
MA
363LF0000X
Family Nurse Practitioner
Primary
RN204295
MA
Other
Enumeration date
02/13/2026
Last updated
04/14/2026
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