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Search › Pennsylvania › 363LA2100X

Courtney Provine, CRNP

NPI 1497153472 · on the registry since 2014

Practice

Address
3400 Civic Center Blvd
2 South
Philadelphia, PA 19104
Phone
(215) 615-0718
Fax
(215) 349-8309
Organisation at this address
University Of Pennsylvania
Faith & Hope Boutique, Llc
University Of Penn-Medical Group
University Of Penn-Medical Group
University Of Penn-Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,049

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
363LF0000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-15

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 Pennsylvania