Tina Lee Anne Provencal

License

Licensed by

California Board of Registered Nursing

License number

95014827

Status

Active (Current)

First issued

July 8, 2020

Expires

September 30, 2028

License holder

Tina Lee Anne Provencal

Entity type

Individual

Classifications

• Nurse Practitioner Nursing

More from the license record

License type code

4004

Other California licenses under this name

• CA
  Tina Lee Anne Provencal

  License 95014827

  Nurse Practitioner Furnishing
  Active

  Huntington Beach, CA

  Expires Sep 30, 2028
• CA
  Tina Lee Anne Provencal

  License 838786

  Registered Nurse
  Active

  Huntington Beach, CA

  Expires Sep 30, 2028

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