Lisa Provenzano
N.P. | Nurse Practitioner | 35+ years Exp
359 Enterprise Ct Spc B, Bloomfield Hills
Michigan, 48302-1055
248-751-7246
Lisa Provenzano is a Bloomfield Hills, Michigan based nurse practitioner with 35 years of experience in . She completed her graduation in 1990. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa Provenzano is 4704150069 in Michigan. Her current practice location is 359 Enterprise Ct Spc B, Bloomfield Hills. Patients can reach her at 248-751-7246 or can fax her at 248-418-2311. Lisa Provenzano is N.P. and her NPI number (Unique professional ID assigned by NPPES) is 1609051135.
Lisa Provenzano has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lisa 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: | Lisa Provenzano |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | N.P. |
| Experience: | 35+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1990 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 359 Enterprise Ct Spc B, Bloomfield Hills,
Michigan, 48302-1055 |
| Phone: | 248-751-7246 |
| Fax: | 248-418-2311 |
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.
| PAC ID: | 3375510548 |
| Enrollment ID: | I20040916000187 |
| NPI Number: | 1609051135 |
| NPI Enumeration Date: | 03 Jan, 2008 |
| NPI Last Update On: | 23 May, 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 Lisa Provenzano are as mentioned below.
| License Number | Specialization | State | Status | |
| 4704150069 | | Michigan | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lisa Provenzano is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Neuro Pain Consultants Pc (1052204062) | 11 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lisa Provenzano
359 Enterprise Ct Spc B,
Bloomfield Hills, Michigan |
| Zip: | 48302-1055 |
| Phone Number: | 248-751-7246 |
| Fax Number: | 248-418-2311 |
Patients can reach Lisa Provenzano at
359 Enterprise Ct Spc B, Bloomfield Hills, Michigan or can
call to book an appointment on 248-751-7246.
Comments/ Reviews:
Patients can read all the reviews posted for Lisa Provenzano below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Lisa Provenzano. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.