Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CLAUDIA MIKE PROVENZALE, AGNP
Active Sole ProprietorMRS. CLAUDIA MIKE PROVENZALE, AGNP is a Adult Health Nurse Practitioner healthcare provider located in STONY BROOK, New York. NPI 1245009547 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · STONY BROOK, NY
Registration Details
- NPI Number
- 1245009547
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 28, 2023 (2.6289140708481 yrs)
- Last Updated
- Jan 16, 2026
- Licenses
-
310912 (NY)F310912-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2500 NESCONSET HWY BLDG 11DSTONY BROOK, NY, 117902553Browse NY providers · Browse ZIP 11790
- Phone
- 6316897899
- Fax
- 6316897865
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Internal Medicine
Other Adult Health Nurse Practitioner Providers in STONY BROOK, NY
| Name | Credential | NPI |
|---|---|---|
| MS. ANNE L REINHART | APRN,BC | 1730183229 |
| DR. SYLVIA K WOOD | DNP, ANP-BC | 1881690980 |
| MRS. ANNE MARIE KLASSERT | NP | 1467448985 |
| MRS. DEBBIE ANN FITZGERALD | NURSE PRACTITIONER | 1871589184 |
| MS. SUSAN W CALLAHAN | NP | 1881683274 |
| MS. TERESA DEBARTOLO KRAMER | ANP C | 1821022971 |
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.