License holder summary

LISA PROVENZANO is a Nursing - Nurse Practitioner licensed to practice in Michigan.

Department of Licensing and Regulatory Affairs

Board of Nursing

LISA PROVENZANO
Nursing - Nurse Practitioner
License number
4704150069
Date expires
03/31/2017
Class
Nursing - Nurse Practitioner
Status
Active
Address
nursingmichigan.com
ID 39031371
LAST UPDATED 2024-02-10 15:39:50 UTC

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