Individual provider · Type 1 NPI
Kimberly L. Provenzano
Nurse Practitioner · Rochester, NY
Practice location
1425 Portland Ave
Rochester, NY 14621-3001
Fax (585) 922-4622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oncology Clinical Nurse Specialist | 364SX0200X | 370019 (NY) |
| Nurse Practitioner Primary | 363L00000X | 370019 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1104864081
Kimberly L. Provenzano's National Provider Identifier is 1104864081, issued on Jun 3, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rochester, NY. The record was last updated on Jul 28, 2023.