Individual
AMBER PROVENZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6734 LEE HWY, CHATTANOOGA, TN 37421-2423
(423) 899-0431
(423) 499-9552
Mailing address
6734 LEE HWY, CHATTANOOGA, TN 37421-2423
(423) 899-0431
(423) 499-9552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
19802
TN
363LF0000X
Family Nurse Practitioner
Primary
RN196795
GA
Other
Enumeration date
02/26/2015
Last updated
04/23/2020
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