NPI 1053365247
Faye Philomena Provenza, MD
Practice location
- Address
- 110 S 9th Ave, Yakima, WA 98902-3315
- Phone
- (509) 575-5061
- Mailing address
- 12540 Stillwater Way, Reno, NV 89511-7780
Registered specialties
Emergency Medicine Physician
Primary
Registry record
- NPI
- 1053365247
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 May 2006
- Record last updated
- 13 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.