Cheryl Provencher, LPN
Licensed Practical Nurse in Middletown, New York
1033875844- Practice location
- 15 Fortune RD W, Middletown, NY 10941-1625
- Phone
- 518-477-0156
- Fax
- —
- Last updated
- November 16, 2021
Cheryl Provencher is a Licensed Practical Nurse based in Middletown, NY. Cheryl Provencher practices in Middletown, NY and has the professional credentials of LPN. The NPI Number for Cheryl Provencher is 1033875844 and holds a License No. 24706801 (NY). The current practice location address for Cheryl Provencher is 15 Fortune RD W, Middletown, NY 10941-1625 and can be reached out via phone at 518-477-0156.
Provider Profile Details
- NPI Number
- 1033875844
- Provider Name
- Cheryl Provencher
- Credential
- LPN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 15 Fortune RD W, Middletown, NY 10941-1625
- Phone Number
- 518-477-0156
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 16, 2021
- Last Update Date
- November 16, 2021
- Certification Date
- November 16, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Fortune RD W
Middletown, NY 10941-1625 - City
- Middletown
- State
- New York
- Zip
- 10941-1625
- Phone Number
- 518-477-0156
Provider Business Mailing Address Details
- Address
- 15 Fortune RD W
Middletown, NY 10941-1625 - City
- Middletown
- State
- NY
- Zip
- 10941-1625
License Information
- License Number
- 24706801
- License State
- NY
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Cheryl Provencher, LPN?
The NPI number of Cheryl Provencher, LPN is 1033875844. It was assigned on November 16, 2021 and is currently active in the NPPES registry.
What is the specialty of Cheryl Provencher, LPN?
Cheryl Provencher, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 24706801.
Where does Cheryl Provencher, LPN practice?
The practice location is 15 Fortune RD W, Middletown, NY 10941-1625. The office can be reached at 518-477-0156 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033875844 directly on the NPPES registry website.