Search › Virginia › 363A00000X
Laura Provenzano, PA-C
NPI 1396080800 · on the registry since 2012 · sole proprietor
Practice
- Address
- 3117 Duke St
Alexandria, VA 22314 - Phone
- (703) 751-8800
- Organisation at this address
- Medgen Urgent Care Virginia Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-12-12
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 Virginia