Individual provider · Type 1 NPI

Lisa Ma Provera

Registered Nurse · Hartford, CT

NPI number 1922510536 Active

Practice location

43 Woodland St
Hartford, CT 06105-2363

Mailing address

91 Falknor Dr
Manchester, CT 06040-2642

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X122606 (CT)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1922510536

Lisa Ma Provera's National Provider Identifier is 1922510536, issued on Nov 5, 2017. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Hartford, CT. The record was last updated on Nov 5, 2017.