Individual
BEVERLY J PROVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNPC
Contact information
Practice address
1208 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 359-2640
Mailing address
1208 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 359-2640
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F3041711
NY
363LF0000X
Family Nurse Practitioner
Primary
F3403661
NY
Other
Enumeration date
12/06/2006
Last updated
01/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us