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

AMY MICHELLE PROVENZANO, CPNP-PC

Active

AMY MICHELLE PROVENZANO, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in WARREN, New Jersey. NPI 1487178687 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · WARREN, NJ

Registration Details

NPI Number
1487178687
Provider Type
Individual
Gender
Female
NPI Issued
Jul 28, 2017 (9.0075242347716 yrs)
Last Updated
Feb 2, 2023
Licenses
APRN.CNP.021402 (OH)
NUR-2023-000730 (NJ)
95022954 (CA)

Practice Information

Address
67A MOUNTAIN BOULEVARD EXT
1ST FLOOR, UNIT B
WARREN, NJ, 07059
Browse NJ providers · Browse ZIP 07059
Phone
8582168837
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in WARREN, NJ

Name Credential NPI
SUSAN KORB PNP 1225215619
MS. NANCY H MONTVILLE PNP 1497932883
KATHLEEN DEMPSEY PNP 1396922787
STEVE DELOSRIOS NP 1043097629
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.