Individual provider · Type 1 NPI
Renee Provost, APRN
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist · Glastonbury, CT
NPI number
1386970598
Active
Practice location
55 Nye Rd Ste 102
Glastonbury, CT 06033-1281
Fax (860) 633-3517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0813X | 01998 (CT) |
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
About NPI 1386970598
Renee Provost, APRN's National Provider Identifier is 1386970598, issued on Oct 22, 2009. The primary taxonomy on file is Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist (364SP0813X), and the practice location is in Glastonbury, CT. The record was last updated on Oct 22, 2009.