Individual provider · Type 1 NPI
John Marc Provenzano, CRNA
Certified Registered Nurse Anesthetist · Chicago, IL
Practice location
5841 S Maryland Ave
Chicago, IL 60637-1447
Mailing address
1042 Riveroaks Ct
Randleman, NC 27317-7987
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209001255 (IL) |
| Certified Registered Nurse Anesthetist Primary | 367500000X | 6183 (NC) |
Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…
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About NPI 1437129335
John Marc Provenzano, CRNA's National Provider Identifier is 1437129335, issued on Jan 24, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Chicago, IL. The record was last updated on Feb 17, 2023.