Individual provider · Type 1 NPI
Lisa Provenzano, N.P.
Nurse Practitioner · Bloomfield Hills, MI
Practice location
359 Enterprise Ct Spc B
Bloomfield Hills, MI 48302-1055
Fax (248) 418-2311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704150069 (MI) |
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 1609051135
Lisa Provenzano, N.P.'s National Provider Identifier is 1609051135, issued on Jan 3, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bloomfield Hills, MI. The record was last updated on May 23, 2023.