KIMBERLY PROVENZANO

Nurse Practitioner

NPI: 1104864081IndividualAccepts Medicare

Specialties, Licenses & Credentials

Oncology Clinical Nurse Specialist

Clinical Nurse Specialist — Oncology

Code: 364SX0200X

370019(NY)

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

370019(NY)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 1997

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Contact & Hours

Address: 1425 PORTLAND AVE
ROCHESTER, NY 14621
Phone: (585) 922-4020

Quick Facts

NPI: 1104864081
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 29

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