RENEE PROVOST APRN NPI 1386970598

NPI Information

NPI: 1386970598
Provider Name: RENEE PROVOST, APRN
Classification: Clinical Nurse Specialist - 364SP0813X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Geropsychiatric

Address:
55 NYE RD STE 102
GLASTONBURY, CT
ZIP 06033
Phone: (860) 657-3056
Get Directions

Renee Provost, APRN is a psychiatric/mental health and geropsychiatric clinical nurse specialist in Glastonbury, CT. Renee Provost, APRN NPI is 1386970598. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 NYE RD STE 102
GLASTONBURY, CT
ZIP 06033-281
Phone: (860) 657-3056
Fax: (860) 633-3517

The enumeration date for this NPI number is 10/22/2009 and was last updated on 10/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0813X	Clinical Nurse Specialist	Psychiatric/Mental Health, Geropsychiatric	01998	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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