ASHLEY ANN PROVENZO

BUFFALO, NY
NPI1902287766
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  339765)
Enumeration Date2015-06-17
Last Update Date2015-06-17
Business Address
Mrs. ASHLEY ANN PROVENZO FNP
462 GRIDER ST SUITE 15
BUFFALO, NY 14215-3021
Phone number: 716-898-3152
Mailing Address
Mrs. ASHLEY ANN PROVENZO FNP
160 CARDINAL LN
GRAND ISLAND, NY 14072-1988
Phone number: 585-317-9546