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Search › Massachusetts › Ambulatory Care Registered Nurse

Marissa Provencher

NPI 1023966934 · on the registry since 2026

Practice

Address
930 Commonwealth Ave
Boston, MA 02215
Phone
(617) 414-6800
Fax
(617) 414-6800
Organisation at this address
Trustees Of Boston University
New England Eye Institute Inc.
Faculty Practice Foundation , Evans Medical Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
88

Registry record

Primary taxonomy
Ambulatory Care Registered Nurse
163WP2201X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts