BRITTANY PROVENZANO (NPI# 1104341908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104341908 |
| Entity Type | Individual |
| Full Name | BRITTANY PROVENZANO |
| Other Name | BRITTANY TARTAGLIA |
| Credential | RN, NP |
| Practice Address |
1318 Monroe Tpke Monroe CT 06468-1402 |
| Practice Telephone | 2036503168 |
| Practice Fax Number | 2036503168 |
| Mailing Telephone | 2036503168 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F07171486 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1318 MONROE TPKE |
| City | MONROE |
| State | CT |
| Zip Code | 06468-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669932117 | Christine Fuchs | Social Worker | 755 Main Street, Building 8, Monroe, CT 06468 | 2019-03-21 |
| 1700379765 | Emily Ding | Dentist | 241 Monroe Tpke, Monroe, CT 06468 | 2018-06-13 |
| 1427563550 | Oak Tree Therapy Pllc | Community/Behavioral Health | 755 Main Street, Building #1, Monroe, CT 06468 | 2017-12-12 |
| 1871013219 | Growth Therapy LLC | Marriage & Family Therapist | 755 Main St., Monroe, CT 06468 | 2017-06-27 |
| 1134677719 | Jacqueline M D'louhy | Social Worker | 115 Main St Main Street Counseling, Unit 3, Monroe, CT 06468 | 2016-09-13 |
| 1841638913 | Tara E Beall-gomes | Counselor | 755 Main St Unit 3, Monroe, CT 06468 | 2013-06-11 |
| 1609122787 | Jaimme Lee Franson | Nurse Practitioner | 324 Elm St Suite 202b, Monroe, CT 06468 | 2012-07-26 |
| 1427383488 | Danielle Maryott | Social Worker | 755 Main Street No. 8 Suite B, Monroe, CT 06468 | 2009-10-08 |
| 1710194758 | Rory T Perimenis | Dentist | 324 Elm Street, Suite 201a, Monroe, CT 06468 | 2007-05-17 |
| 1548339542 | Donald P. Opatrny | Marriage & Family Therapist | 755 Main St Ste 2, Aspetuck Counseling Center, Monroe, CT 06468 | 2006-11-06 |
| Find all providers in zip 06468 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
| 1114526662 | Angelina Fiszlewicz | Nurse Practitioner | 69 Bayberry Ln, Monroe, OH 45050-2521 | 2020-10-25 |
| 1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
| 1417562711 | Tarshia Timothy-jackson | Nurse Practitioner | 2703 Sterlington Rd Apt 76, Monroe, LA 71203-2547 | 2020-09-13 |
| 1891307385 | The Community Np LLC | Nurse Practitioner | 111 Kiowa St, Monroe, LA 71203-8565 | 2020-08-18 |
| 1083223457 | Zydeco Healthcare LLC | Nurse Practitioner | 301 Winkler Way, Monroe, LA 71203-6530 | 2020-07-30 |
| 1194343442 | Courtney Paige Miletello | Nurse Practitioner | 4015 Anna Kate Ln, Monroe, LA 71201-3810 | 2020-07-13 |
| 1942825831 | Kristyn Devun Squyres | Nurse Practitioner | 1401 N 18th St Ste A, Monroe, LA 71201-4972 | 2020-06-16 |
| 1629603337 | Emily Rebecca Buddemeyer | Nurse Practitioner | 814 N Macomb St Ste 1, Monroe, MI 48162-3085 | 2020-03-03 |
| 1760015572 | Jessica Marie Hartle | Nurse Practitioner | 730 N Macomb St Ste 228, Monroe, MI 48162-3087 | 2020-02-20 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.