BEVERLY J PROVO GNPC
NPI 1215096482
Nurse Practitioner - Family in Newark, NY
About Beverly J Provo Gnpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEVERLY J PROVO GNPC (NPI 1215096482) is an individual family provider in Newark, New York, licensed in New York (F3403661) and active in the NPI registry since December 2006.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Beverly Provo's NPI number?
The NPI number for Beverly Provo is 1215096482. It was assigned to this individual provider in the NPPES registry on December 6, 2006.
Where is Beverly Provo located?
Beverly Provo practices at 1208 Driving Park Ave, Newark, NY 14513. The listed phone number is (315) 359-2640.
What is Beverly Provo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Beverly Provo was last updated on January 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
