Individual provider · Type 1 NPI

Allison Marie Provenzale, ACNP

Acute Care Nurse Practitioner · Manhasset, NY

NPI number 1033636709 Active

Practice location

300 Community Dr
Manhasset, NY 11030-3816

Mailing address

6 Wichita Path
Oakland, NJ 07436-3818

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X431178 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1033636709

Allison Marie Provenzale, ACNP's National Provider Identifier is 1033636709, issued on Aug 24, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Manhasset, NY. The record was last updated on Aug 24, 2017.