ANNELIESE PROVOST, F.N.P.

F.N.P.

Family Nurse Practitioner

NPI: 1184173635IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

340586(NY)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2015

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Contact & Hours

Address: 4164 ROUTE 2
CROPSEYVILLE, NY 12052
Phone: (518) 213-0450

Quick Facts

NPI: 1184173635
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 11

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