Individual
AMY MICHELLE PROVENZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
67A MOUNTAIN BOULEVARD EXT, 1ST FLOOR, UNIT B, WARREN, NJ 07059
(858) 216-8837
Mailing address
751 ORWELL ST, LITHOPOLIS, OH 43136-9723
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
95022954
CA
363LP0200X
Pediatric Nurse Practitioner
APRN.CNP.021402
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
NUR-2023-000730
NJ
Other
Enumeration date
07/28/2017
Last updated
02/02/2023
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