Individual provider · Type 1 NPI
Gail Christine Provencher, APRN (EMERITUS), RN
Women's Health Nurse Practitioner · Grand Haven, MI
NPI number
1629245063
Active
Practice location
12539 Retreat Dr
Grand Haven, MI 49417-7672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 4704309077 (MI) |
Women's Health Nurse Practitioner: Definition to come...
About NPI 1629245063
Gail Christine Provencher, APRN (EMERITUS), RN's National Provider Identifier is 1629245063, issued on May 14, 2008. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Grand Haven, MI. The record was last updated on Jan 9, 2016.