person
Kayla Emily Provenzano, FNP
Family Nurse Practitioner in Riverhead, New York
NPI 1609599307

Kayla Emily Provenzano is a Family Nurse Practitioner based in Centereach, NY and is specialized in Family. Kayla Emily Provenzano practices in Riverhead, NY and has the professional credentials of FNP. The NPI Number for Kayla Emily Provenzano is 1609599307 and holds a License No. 350411 (New York).

The current practice location address for Kayla Emily Provenzano is 1272 E Main St, Riverhead, NY and can be reached out via phone at 631-284-3797.

Location: 1272 E Main St, Riverhead, NY, 11720-2243
person
Provider Profile Details
NPI Number
1609599307
Provider Name
Kayla Emily Provenzano
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1272 E Main St, Riverhead, NY, 11720-2243
Phone Number
631-284-3797
Fax Number
Provider Enumeration Date
09/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1272 E Main St
City
State
Zip
11901-2583
Phone Number
631-284-3797
Fax Number
person
Provider Business Mailing Address Details
Address
1272 E Main St
City
State
Zip
11901-2583
Phone Number
631-284-3797
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
350411 (New York)
Definition
Definition to come...
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