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Individual

ADRIENNE ADKINS-PROVOST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC

Contact information

Practice address
13471 W CORNERSTONE BLVD, GOODYEAR, AZ 85395-2713
(480) 964-2273
(623) 213-8808
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
(623) 974-6721

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
327791
AZ

Other

Enumeration date
07/16/2025
Last updated
08/18/2025
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