Danielle Provoncha, CRNA
Nurse Anesthetist, Certified Registered in New London, Connecticut
1619373248- Practice location
- 365 Montauk Ave, New London, CT 06320-4700
- Phone
- 860-442-0711
- Fax
- 781-407-0998
- Last updated
- October 30, 2023
Danielle Provoncha is a Nurse Anesthetist, Certified Registered based in New London, CT. Danielle Provoncha practices in New London, CT and has the professional credentials of CRNA. The NPI Number for Danielle Provoncha is 1619373248 and holds a License No. 6012 (CT). The current practice location address for Danielle Provoncha is 365 Montauk Ave, New London, CT 06320-4700 and can be reached out via phone at 860-442-0711 and via fax at 781-407-0998.
Provider Profile Details
- NPI Number
- 1619373248
- Provider Name
- Danielle Provoncha
- Credential
- CRNA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 365 Montauk Ave, New London, CT 06320-4700
- Phone Number
- 860-442-0711
- Fax Number
- 781-407-0998
- Primary Taxonomy
- Nurse Anesthetist, Certified Registered · 367500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 10, 2014
- Last Update Date
- October 30, 2023
- Certification Date
- October 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 365 Montauk Ave
New London, CT 06320-4700 - City
- New London
- State
- Connecticut
- Zip
- 06320-4700
- Phone Number
- 860-442-0711
- Fax Number
- 781-407-0998
Provider Business Mailing Address Details
- Address
- 690 Canton St
Suite 325
Westwood, MA 02090-2321 - City
- Westwood
- State
- MA
- Zip
- 02090-2321
- Phone Number
- 781-407-7713
- Fax Number
- 781-407-0998
License Information
- License Number
- 6012
- License State
- CT
- Taxonomy
- Nurse Anesthetist, Certified Registered · 367500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Anesthetist, Certified Registered providers near New London, CT
View all Nurse Anesthetist, Certified Registered providers in New London →- Benjamin Webster, CRNANurse Anesthetist, Certified Registered · NPI 1770918989
- Clementine A Masse, CRNANurse Anesthetist, Certified Registered · NPI 1578799623
- Feliks K Reikhrud, CRNANurse Anesthetist, Certified Registered · NPI 1487759098
- Luke J Ackroyd, CRNANurse Anesthetist, Certified Registered · NPI 1982640348
- Misty Scoggins, CRNANurse Anesthetist, Certified Registered · NPI 1629355029
- Mrs. Amy S Cheesman, CRNANurse Anesthetist, Certified Registered · NPI 1407951007
Frequently Asked Questions
What is the NPI number of Danielle Provoncha, CRNA?
The NPI number of Danielle Provoncha, CRNA is 1619373248. It was assigned on November 10, 2014 and is currently active in the NPPES registry.
What is the specialty of Danielle Provoncha, CRNA?
Danielle Provoncha, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in CT under license number 6012.
Where does Danielle Provoncha, CRNA practice?
The practice location is 365 Montauk Ave, New London, CT 06320-4700. The office can be reached at 860-442-0711 (phone) or 781-407-0998 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619373248 directly on the NPPES registry website.