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Kristin Lea Hood Provencher, CPNP-PC
Pediatric Nurse Practitioner in Orlando, Florida
NPI 1215280037

Kristin Lea Hood Provencher is a Pediatric Nurse Practitioner based in Orlando, FL and is specialized in Pediatrics. Kristin Lea Hood Provencher practices in Orlando, FL and has the professional credentials of CPNP-PC. The NPI Number for Kristin Lea Hood Provencher is 1215280037 and holds a License No. ARNP 9265639 (Florida).

The current practice location address for Kristin Lea Hood Provencher is 615 E Princeton St, Orlando, FL and can be reached out via phone at 407-898-1210 and via fax at 407-898-2909.

Location: 615 E Princeton St, Orlando, FL, 32869-1597
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Provider Profile Details
NPI Number
1215280037
Provider Name
Kristin Lea Hood Provencher
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
615 E Princeton St, Orlando, FL, 32869-1597
Phone Number
407-898-1210
Fax Number
407-898-2909
Provider Enumeration Date
10/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007190500 05 FL
Y0E9G 01 FL BCBS OF FL
institution
Provider Business Practice Location Address Details
Address
615 E Princeton St
City
State
Zip
32803-1456
Phone Number
407-898-1210
Fax Number
407-898-2909
person
Provider Business Mailing Address Details
Address
615 E Princeton St
City
State
Zip
32803-1456
Phone Number
407-898-1210
Fax Number
407-898-2909
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
ARNP 9265639 (Florida)
Definition
Definition to come...
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