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RENEE PROVOST APRN
NPI 1386970598
Clinical Nurse Specialist - Psychiatric/Mental Health, Geropsychiatric in Glastonbury, CT

Active since October 22, 2009
55 NYE RD STE 102, GLASTONBURY, CT 06033(860) 657-3056(860) 633-3517 Get Directions Write a Review

NPPES record last updated: October 22, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Renee Provost Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEE PROVOST APRN (NPI 1386970598) is an individual psychiatric/mental health, geropsychiatric provider in Glastonbury, Connecticut, licensed in Connecticut (01998) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1386970598
Entity TypeIndividualFemale
Primary Taxonomy364SP0813X
Provider Legal NameRENEE PROVOSTCredential: APRN
Location Address55 NYE RD STE 102Glastonbury, CT 06033-1281
Mailing Address55 Nye Rd Ste 102Glastonbury, CT 06033-1281 · (860) 657-3056 · Fax (860) 633-3517
Phone(860) 657-3056
Fax(860) 633-3517
Sole ProprietorNo
Enumeration DateOctober 22, 2009
✔ NPI 1386970598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, GeropsychiatricPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0813X
License✔ Licensed in CT · 01998
55 NYE RD STE 102, Glastonbury, CT 06033
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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 Renee Provost's NPI number?

The NPI number for Renee Provost is 1386970598. It was assigned to this individual provider in the NPPES registry on October 22, 2009.

Where is Renee Provost located?

Renee Provost practices at 55 Nye Rd Ste 102, Glastonbury, CT 06033. The listed phone number is (860) 657-3056.

What is Renee Provost's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Geropsychiatric, with taxonomy code 364SP0813X.

When was this NPI record last updated?

The NPPES record for Renee Provost was last updated on October 22, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.