Individual
MRS. KATHERINE PROVENZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
721 E MILLTOWN RD, WOOSTER, OH 44691-1255
(330) 287-4500
Mailing address
721 E MILLTOWN RD, WOOSTER, OH 44691-1255
(330) 287-4500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.15283-NP
OH
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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