Individual provider · Type 1 NPI
Cheryl Provencher, LPN
Licensed Practical Nurse · Middletown, NY
NPI number
1033875844
Active
Practice location
15 Fortune Rd W
Middletown, NY 10941-1625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 24706801 (NY) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1033875844
Cheryl Provencher, LPN's National Provider Identifier is 1033875844, issued on Nov 16, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Middletown, NY. The record was last updated on Nov 16, 2021.