KIMBERLY L. PROVENZANO

ROCHESTER, NY
NPI1104864081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  370019)
Additional Taxonomies364SX0200X Clinical Nurse Specialist, Oncology
(Licence: NY  370019)
Enumeration Date2006-06-03
Last Update Date2023-07-28
Business Address
Ms. KIMBERLY L. PROVENZANO
1425 PORTLAND AVE
ROCHESTER, NY 14621-3001
Phone number: 585-922-4020
Mailing Address
Ms. KIMBERLY L. PROVENZANO
1425 PORTLAND AVE
ROCHESTER, NY 14621-3001
Phone number: 585-922-4020