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

TaxonomyCodeLicense
Nutrition Education Nutritionist Primary 133NN1002XRND20007152 (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.