Individual provider · Type 1 NPI
Eliane Provencher, NHP-BC
Nutrition Education Nutritionist · West Hartford, CT
NPI number
1174951636
Active
Practice location
345 N Main St, Neiha
West Hartford, CT 06117-2515
Mailing address
21 Rockwell Rd
Stafford Springs, CT 06076-4513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist Primary | 133NN1002X | RND20007152 (NV) |
Nutrition Education Nutritionist: Definition to come...
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About NPI 1174951636
Eliane Provencher, NHP-BC's National Provider Identifier is 1174951636, issued on Oct 21, 2013. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in West Hartford, CT. The record was last updated on Oct 21, 2013.