License Directory

Tina Lee Anne Provencal

Active

California license 838786

License

Licensed by
California Board of Registered Nursing
License number
838786
Status
Active (Current)
First issued
March 5, 2013
Expires
September 30, 2028
License holder
Tina Lee Anne Provencal
Entity type
Individual

Classifications

More from the license record

License type code
4001

Other California licenses under this name

  • CA
    Tina Lee Anne Provencal
    License 95014827
    Nurse Practitioner
    Active
    Huntington Beach, CA
    Expires Sep 30, 2028
  • CA
    Tina Lee Anne Provencal
    License 95014827
    Nurse Practitioner Furnishing
    Active
    Huntington Beach, CA
    Expires Sep 30, 2028

Contact

8401 Atlanta Ave
Huntington Beach, CA 92646-6129
Orange County