National Provider Identifier
Ashley Ann Provenzo, FNP
Ashley Ann Provenzo, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 898-3152.
Profile Overview
- NPI
- 1902287766
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- June 17, 2015
- Last Updated
- June 17, 2015
Practice Location
- 462 Grider St
- Suite 15
- Buffalo, NY 14215-3021
Phone: (716) 898-3152
Mailing Address
- 160 Cardinal Ln
- Grand Island, NY 14072-1988
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1902287766
- Entity Type
- Individual
- Last Name
- Provenzo
- First Name
- Ashley
- Middle Name
- Ann
- Name Prefix
- Mrs.
- Credential
- FNP
- Mailing Street Address
- 160 Cardinal Ln
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072-1988
- Mailing Country
- US
- Mailing Phone
- (585) 317-9546
- Practice Street Address
- 462 Grider St
- Practice Address Line 2
- Suite 15
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-3152
- Enumeration Date
- June 17, 2015
- Last Updated
- June 17, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)