Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA PROVENZANO, N.P.
ActiveLISA PROVENZANO, N.P. is a Nurse Practitioner healthcare provider located in BLOOMFIELD HILLS, Michigan. NPI 1609051135 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · BLOOMFIELD HILLS, MI
Registration Details
- NPI Number
- 1609051135
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 3, 2008 (18.576318920147 yrs)
- Last Updated
- May 23, 2023
- License
-
4704150069 (MI)
Practice Information
- Address
-
359 ENTERPRISE CT SPC BBLOOMFIELD HILLS, MI, 483021055Browse MI providers · Browse ZIP 48302
- Phone
- 2487517246
- Fax
- 2484182311
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in BLOOMFIELD HILLS, MI
| Name | Credential | NPI |
|---|---|---|
| KAREN L VRABEL | NP | 1548366065 |
| MRS. ANTOINETTE MARIE KREAGER | ANP-BC | 1255597886 |
| LORI BARON BRAND | NP | 1972834398 |
| MARCI AIUTO | NP-C | 1336586627 |
| MARLENE HAMAMA | — | 1770904971 |
| BRITTANY PAJEWSKI | NP | 1437568813 |
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.