Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEVERLY J PROVO, GNPC
ActiveBEVERLY J PROVO, GNPC is a Family Nurse Practitioner healthcare provider located in NEWARK, New York. NPI 1215096482 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · NEWARK, NY
Registration Details
- NPI Number
- 1215096482
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 6, 2006 (19.650977193753 yrs)
- Last Updated
- Jan 6, 2011
- Licenses
-
F3041711 (NY)F3403661 (NY)
Practice Information
- Address
-
1208 DRIVING PARK AVENEWARK, NY, 145131057Browse NY providers · Browse ZIP 14513
- Phone
- 3153592640
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in NEWARK, NY
| Name | Credential | NPI |
|---|---|---|
| DR. WADE JASON BRANDT | CNP | 1629070297 |
| LYNN BRAZEE | FNP | 1720004328 |
| MRS. ERICA LYNN LEGAN | FNP-C | 1821487364 |
| JEFFREY HARFORD | FNP | 1609228279 |
| DAMAR TITSY-ANN MCINTYRE | FNP | 1134694334 |
| CATHERINE BOGAN | RN | 1265903686 |
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.