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KELLY PROVENCHER, RN,MSN,BC

RN,MSN,BC

Adult Health Nurse Practitioner

NPI: 1790898252IndividualAccepts Medicare

Specialties, Licenses & Credentials

Adult Health Nurse PractitionerPrimary

Nurse Practitioner — Adult Health

Code: 363LA2200X

234648(MA)

CMS Specialties

Education

OTHER

Class of 2001

Contact & Hours

Address
1400 VFW PKWY
WEST ROXBURY, MA 02132

Quick Facts

NPI
1790898252
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
25

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