Amy Michelle Provenzano
CPNP-PC | Nurse Practitioner - Pediatrics
67a Mountain Boulevard Ext, 1st Floor, Unit B, Warren
New Jersey, 07059
858-216-8837
Amy Michelle Provenzano is a Warren, New Jersey based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Amy Michelle Provenzano is NUR-2023-000730 for Pediatrics in New Jersey. Her current practice location is 67a Mountain Boulevard Ext, 1st Floor, Unit B, Warren. Patients can reach her at 858-216-8837. Amy Michelle Provenzano is CPNP-PC with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1487178687.
Amy Michelle Provenzano specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Amy Michelle Provenzano speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Amy Michelle Provenzano |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | CPNP-PC |
| Practice Address: | 67a Mountain Boulevard Ext, 1st Floor, Unit B, Warren,
New Jersey, 07059 |
| Phone: | 858-216-8837 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1487178687 |
| NPI Enumeration Date: | 28 Jul, 2017 |
| NPI Last Update On: | 02 Feb, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amy Michelle Provenzano are as mentioned below.
| License Number | Specialization | State | Status | |
| NUR-2023-000730 | Pediatrics | New Jersey | Primary | |
| APRN.CNP.021402 | Pediatrics | Ohio | Secondary | |
| 95022954 | Pediatrics | California | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Amy Michelle Provenzano
751 Orwell St,
Lithopolis, Ohio |
| Zip: | 43136-9723 |
Patients can reach Amy Michelle Provenzano at
67a Mountain Boulevard Ext, 1st Floor, Unit B, Warren, New Jersey or can
call to book an appointment on 858-216-8837.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.