Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARC PROVENZANO
Active Sole ProprietorMARC PROVENZANO is a Acute Care Nurse Practitioner healthcare provider located in GROVETON, Texas. NPI 1285413922 is currently active in the NPPES registry. Verify at CMS.
Acute Care Nurse Practitioner · GROVETON, TX
Registration Details
- NPI Number
- 1285413922
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2023 (2.8815874804467 yrs)
- Last Updated
- Oct 8, 2024
- License
-
1119122 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
493 N MAIN STGROVETON, TX, 758452498Browse TX providers · Browse ZIP 75845
- Phone
- 2815158349
- Primary Specialty
-
Acute Care Nurse Practitioner
363LA2100X
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.