Individual provider · Type 1 NPI
Ashley Ann Provenzo, FNP
Family Nurse Practitioner · Buffalo, NY
NPI number
1902287766
Active
Practice location
462 Grider St, Suite 15
Buffalo, NY 14215-3021
Mailing address
160 Cardinal Ln
Grand Island, NY 14072-1988
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 339765 (NY) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 408694 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1902287766
Ashley Ann Provenzo, FNP's National Provider Identifier is 1902287766, issued on Jun 17, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Buffalo, NY. The record was last updated on Sep 4, 2026.