Search › New Jersey › 363LP0200X
Amy Provenzano, CPNP-PC
NPI 1487178687 · on the registry since 2017
Practice
- Address
- 67a Mountain Boulevard Ext
1st Floor, Unit B
Warren, NJ 07059 - Phone
- (858) 216-8837
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Also registered as
- 363LP0200X
363LP0200X - Licence states on file
- OH, NJ, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-02
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 New Jersey