Individual provider · Type 1 NPI

Marcela Provenzano, PA-C

Physician Assistant · Raleigh, NC

NPI number 1346967734 Active

Practice location

10207 Cerny St Ste 102
Raleigh, NC 27617-4880

Call (919) 613-1807 Map

Fax (919) 544-6907

Other practice locations

40 Duke Medicine Circle Clinic Ij, Durham, NC 27710-6666 · (919) 613-2243

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	0010-12733 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1346967734

Marcela Provenzano, PA-C's National Provider Identifier is 1346967734, issued on Oct 26, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Raleigh, NC. The record was last updated on Aug 15, 2025.