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Cheryl Provencher, LPN
Licensed Practical Nurse in Middletown, New York
NPI 1033875844

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 (New York).

The current practice location address for Cheryl Provencher is 15 Fortune Rd W, Middletown, NY and can be reached out via phone at 518-477-0156.

Location: 15 Fortune Rd W, Middletown, NY, 10941-1625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
Fax Number
Provider Enumeration Date
11/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15 Fortune Rd W
City
Middletown
State
New York
Zip
10941-1625
Phone Number
518-477-0156
Fax Number
person
Provider Business Mailing Address Details
Address
15 Fortune Rd W
City
Middletown
State
New York
Zip
10941-1625
Phone Number
518-477-0156
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
24706801 (New York)
Definition
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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