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

MARCELA PROVENZANO, PA-C

Active

MARCELA PROVENZANO, PA-C is a Physician Assistant healthcare provider located in RALEIGH, North Carolina. NPI 1346967734 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · RALEIGH, NC

Registration Details

NPI Number
1346967734
Provider Type
Individual
Gender
Female
NPI Issued
Oct 26, 2022 (3.7965900923422 yrs)
Last Updated
Aug 15, 2025
License
0010-12733 (NC)

Practice Information

Address
10207 CERNY ST STE 102
RALEIGH, NC, 276174880
Browse NC providers · Browse ZIP 27617
Phone
9196131807
Fax
9195446907
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in RALEIGH, NC

Name Credential NPI
MICHAEL EDWARD WIEGERT PA-C 1104822592
ELIZABETH FULLER PA 1144228008
PAMELA BURLESON PA-C 1447258306
I-LING YU PA-C 1477551364
MRS. ELIZABETH JAYNES TURNER PA-C 1134127905
MR. DANA W JOHNSON PA-C 1659379428
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.