Individual
APRIL PROVENZINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
19070 E 10 MILE RD, EASTPOINTE, MI 48021-1449
(586) 445-0177
Mailing address
19070 E 10 MILE RD, EASTPOINTE, MI 48021-1449
(586) 445-0177
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704277741
MI
363LG0600X
Gerontology Nurse Practitioner
4704277741
MI
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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