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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KIMBERLY L. PROVENZANO

Active

MS. KIMBERLY L. PROVENZANO is a Nurse Practitioner healthcare provider located in ROCHESTER, New York. NPI 1104864081 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · ROCHESTER, NY

Registration Details

NPI Number
1104864081
Provider Type
Individual
Gender
Female
NPI Issued
Jun 3, 2006 (20.239746327143 yrs)
Last Updated
Jul 28, 2023
Licenses
370019 (NY)
370019 (NY)

Practice Information

Address
1425 PORTLAND AVE
ROCHESTER, NY, 146213001
Browse NY providers · Browse ZIP 14621
Phone
5859224020
Fax
5859224622
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in ROCHESTER, NY

Name Credential NPI
LORALEE SPARACINO N.P. 1346242658
SHARON M BILLINGS ARNP 1124026174
MRS. VICTORIA UBERTI NUGENT NP 1851380844
SARAH LEILANI BECK FNP-BC 1073594040
KIM ZURAT NP 1376516781
JULIE STEFKO NP 1760448757
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.