About Maria Lillian Provenzano
She is located at 282 Broad St, , in Red Bank, NJ 07701. Appointment can be made via the phone number (732) 842-3600.
Maria Lillian Provenzano - Address, Phone & Website
282 Broad St, , Red Bank, NJ 07701
(732) 842-3600
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Family Nurse Practitioner | 363LF0000X |
| No | Registered Nurse | 163W00000X |
Licenses
| State | License Number |
|---|---|
| New Jersey | 26NJ15197600 |
| New Jersey | 26NR20988600 |