person
Mrs. Courtney Ann Provine, CRNP
Acute Care Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1497153472

Courtney Ann Provine is an Acute Care Nurse Practitioner based in Bensalem, PA and is specialized in Acute Care. Courtney Ann Provine practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Courtney Ann Provine is 1497153472 and holds a License No. SP014616 (Pennsylvania).

The current practice location address for Courtney Ann Provine is 3400 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 215-615-0718 and via fax at 215-349-8309.

Location: 3400 Civic Center Blvd, Philadelphia, PA, 19020
person
Provider Profile Details
NPI Number
1497153472
Provider Name
Courtney Ann Provine
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
3400 Civic Center Blvd, Philadelphia, PA, 19020
Phone Number
215-615-0718
Fax Number
215-349-8309
Provider Enumeration Date
12/08/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4324295 01 PA CIGNA PA
3120472 01 PA HIGHMARK BLUE SHIELD
1029886820001 05 PA
5764869 01 PA AETNA
P01435312 01 PA RAILROAD MEDICARE
30218673 01 PA KEYSTONE FIRST
institution
Provider Business Practice Location Address Details
Address
3400 Civic Center Blvd
City
State
Zip
19104
Phone Number
215-615-0718
Fax Number
215-349-8309
person
Provider Business Mailing Address Details
Address
3400 Civic Center Blvd
City
State
Zip
19104
Phone Number
215-615-0718
Fax Number
215-349-8309
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
SP021617 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
SP014616 (Pennsylvania)
Definition
Definition to come...
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