COURTNEY ANN PROVINE

PHILADELPHIA, PA
NPI1497153472
Former NameCOURTNEY ANN BURWELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: PA  SP021617)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: PA  SP014616)
Enumeration Date2014-12-08
Last Update Date2021-11-15
Business Address
Mrs. COURTNEY ANN PROVINE CRNP
3400 CIVIC CENTER BLVD 2 SOUTH
PHILADELPHIA, PA 19104
Phone number: 215-615-0718
Mailing Address
Mrs. COURTNEY ANN PROVINE CRNP
5709 SHETLAND CT
BENSALEM, PA 19020
Phone number: 267-760-1174