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LAURA PROVENZANO PA-C
NPI 1396080800
Physician Assistant in Alexandria, VA

Active since December 10, 2012
3117 DUKE ST, ALEXANDRIA, VA 22314(703) 751-8800 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laura Provenzano Pa-c NPPES

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

LAURA PROVENZANO PA-C (NPI 1396080800) is an individual physician assistant in Alexandria, Virginia, licensed in Virginia (0110004424) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1396080800
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAURA PROVENZANOCredential: PA-C
Location Address3117 DUKE STAlexandria, VA 22314-4518
Mailing Address1563 Onyx Dr Unit 205Mc Lean, VA 22102-3945 · (703) 585-5951
Phone(703) 751-8800
Sole ProprietorYes
Enumeration DateDecember 10, 2012
Last NPPES UpdateDecember 12, 2017
✔ NPI 1396080800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110004424
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3117 DUKE ST, Alexandria, VA 22314
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Other Identifiers 1

Other0110004424VA · State License

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDGEN URGENT CARE VIRGINIA LLC
Clinic/Center (Urgent Care)
3117 DUKE ST
ALEXANDRIA, VA 22314
Alexandria City (703) 751-8800
TIFFANY GILLION DO
Family Medicine
3117 DUKE ST
ALEXANDRIA, VA 22314
Alexandria City (703) 751-8800
KRISTIN LEVESQUE D.O.
Internal Medicine
3117 DUKE ST
ALEXANDRIA, VA 22314
Alexandria City (703) 751-8800

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 Laura Provenzano's NPI number?

The NPI number for Laura Provenzano is 1396080800. It was assigned to this individual provider in the NPPES registry on December 10, 2012.

Where is Laura Provenzano located?

Laura Provenzano practices at 3117 Duke St, Alexandria, VA 22314. The listed phone number is (703) 751-8800.

What is Laura Provenzano's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Laura Provenzano was last updated on December 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.