Lisa A. Provance is a Family Nurse Practitioner based in Morgantown, WV and is specialized in Family. Lisa A. Provance practices in Morgantown, WV and has the professional credentials of NP. The NPI Number for Lisa A. Provance is 1588645378 and holds a License No. 0024165328 (West Virginia).
The current practice location address for Lisa A. Provance is Po Box 897, Morgantown, WV and can be reached out via phone at 304-285-7100 and via fax at 304-842-2333.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024165328 | 01 | VA | NURSE PRACTITIONER NUMBER |
| 115829 | 01 | WV | APRN |
| 014944V57 | 01 | VA | MEDICARE FOR VHPG |
| 0001104234 | 01 | VA | RN LICENSE NUMBER |
| 010114641 | 05 | VA |
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