BEVERLY PROVO, GNPC

GNPC

Family Nurse Practitioner

NPI: 1215096482Individual

Specialties, Licenses & Credentials

Adult Health Nurse Practitioner

Nurse Practitioner — Adult Health

Code: 363LA2200X

F3041711(NY)

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

F3403661(NY)

Contact & Hours

Address: 1208 DRIVING PARK AVE
NEWARK, NY 14513
Phone: (315) 359-2640

Quick Facts

NPI: 1215096482
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

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