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Lisa Provenzano, NP
Nurse Practitioner in Bloomfield Hills, Michigan
NPI 1609051135

Lisa Provenzano is a Nurse Practitioner based in Bloomfield Hills, MI. Lisa Provenzano practices in Bloomfield Hills, MI and has the professional credentials of NP. The NPI Number for Lisa Provenzano is 1609051135 and holds a License No. 4704150069 (Michigan).

The current practice location address for Lisa Provenzano is 359 Enterprise Ct Spc B, Bloomfield Hills, MI and can be reached out via phone at 248-751-7246 and via fax at 248-418-2311.

Location: 359 Enterprise Ct Spc B, Bloomfield Hills, MI, 48302-1055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609051135
Provider Name
Lisa Provenzano
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
359 Enterprise Ct Spc B, Bloomfield Hills, MI, 48302-1055
Phone Number
248-751-7246
Fax Number
248-418-2311
Provider Enumeration Date
01/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
359 Enterprise Ct Spc B
City
Bloomfield Hills
State
Michigan
Zip
48302-1055
Phone Number
248-751-7246
Fax Number
248-418-2311
person
Provider Business Mailing Address Details
Address
359 Enterprise Ct Spc B
City
Bloomfield Hills
State
Michigan
Zip
48302-1055
Phone Number
248-751-7246
Fax Number
248-418-2311
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704150069 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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