Renee Provost, APRN - Clinical Nurse Specialist in Glastonbury, CT

Renee Provost, APRN is a Clinical Nurse Specialist - Psychiatric/mental Health, Geropsychiatric based in Glastonbury, Connecticut. Renee Provost is licensed to practice in Connecticut (license number 01998) and her current practice location is 55 Nye Rd Ste 102, Glastonbury, Connecticut. She can be reached at her office (for appointments etc.) via phone at (860) 657-3056.

NPI number for Renee Provost is 1386970598 and her current mailing address is 55 Nye Rd Ste 102, Glastonbury, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386970598.

Contact Information

Renee Provost, APRN
55 Nye Rd Ste 102,
Glastonbury, CT 06033-1281
(860) 657-3056
(860) 633-3517



Provider's Profile

Full NameRenee Provost
GenderFemale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health, Geropsychiatric
Location55 Nye Rd Ste 102, Glastonbury, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386970598
  • Provider Enumeration Date: 10/22/2009
  • Last Update Date: 10/22/2009

Medical Identifiers

Medical identifiers for Renee Provost such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386970598NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0813XClinical Nurse Specialist - Psychiatric/mental Health, Geropsychiatric 01998 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Renee Provost is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Renee Provost, APRN
55 Nye Rd Ste 102,
Glastonbury, CT 06033-1281

Ph: (860) 657-3056
Renee Provost, APRN
55 Nye Rd Ste 102,
Glastonbury, CT 06033-1281

Ph: (860) 657-3056

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Clinical Nurse Specialist Nurses in Glastonbury, CT

Nancy Mitchell,
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 140 Glastonbury Blvd, Glastonbury, CT 06033
Phone: 860-559-7034    
Mary Catherine Lavery, APRN
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 628 Hebron Ave, Glastonbury, CT 06033
Phone: 860-494-4600    
Rachel Cohen,
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 91 Valley View Rd, Glastonbury, CT 06033
Phone: 860-657-2277    

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