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MARC PROVENZANO
Acute Care Nurse Practitioner
NPI: 1285413922IndividualAccepts Medicare
Specialties, Licenses & Credentials
Acute Care Nurse PractitionerPrimary
Nurse Practitioner — Acute Care
Code: 363LA2100X
1119122(TX)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2022
Contact & Hours
- Address
- 493 N MAIN ST
GROVETON, TX 75845 - Phone
- (281) 515-8349
Quick Facts
- NPI
- 1285413922
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 4
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