Provenzo, Ashley Ann

Provenzo, Ashley Ann is an individual health care provider with primary practice located at 462 Grider St Suite 15, Buffalo NY 14215-3021. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Provenzo, Ashley Ann can be contacted via phone (716) 898-3152.

Contact Information

Primary practice address
462 Grider St Suite 15 Buffalo NY 14215-3021
Phone: (716) 898-3152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 339765 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 408694 New York

Profile Details

NPI number 1902287766
LBN Legal business name Provenzo, Ashley Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2015
Last updated Sep 4th, 2026 - about last month

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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