Individual provider · Type 1 NPI

Brittany Provenzano, RN, NP

Family Nurse Practitioner · Shelton, CT

NPI number 1104341908 Active

Practice location

795 Bridgeport Ave, Suite A
Shelton, CT 06484

Mailing address

6 Williamsburg Dr
Monroe, CT 06468-2507

Other practice locations

  • 55 Hazard Ave, Enfield, CT 06082 · (475) 253-2599
  • 80 Route 6 Ste 704-705, Baldwin Place, NY 10505 · (475) 253-2599
  • 31 Old Route 7, Brookfield, CT 06804 · (475) 253-2599

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XRN2342809 (MA)
Family Nurse Practitioner 363LF0000X348683 (NY)
Family Nurse Practitioner Primary 363LF0000X7356 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1104341908

Brittany Provenzano, RN, NP's National Provider Identifier is 1104341908, issued on Aug 14, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shelton, CT. The record was last updated on Mar 14, 2025.