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

NICOLE PROVENZANO, AGACNP-BC

Active

NICOLE PROVENZANO, AGACNP-BC is a Acute Care Nurse Practitioner healthcare provider located in NEW YORK, New York. NPI 1265395313 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · NEW YORK, NY

Registration Details

NPI Number
1265395313
Provider Type
Individual
Gender
Female
NPI Issued
Dec 5, 2025 (0.70796321660629 yrs)
Last Updated
Jan 6, 2026
License
433222 (NY)

Practice Information

Address
1275 YORK AVE
NEW YORK, NY, 100656007
Browse NY providers · Browse ZIP 10065
Phone
2126392000
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X

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MRS. ALISON J COSTALOS I NP 1184673055
DOMINIQUE MARGARET SICILE N.P. 1548201072
DR. LORI A. COGAN DNP, ACNP-BC, ANP-BC 1023059300
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.