Search › Michigan › 363LW0102X
Gail Provencher, APRN (EMERITUS), RN,
NPI 1629245063 · on the registry since 2008 · sole proprietor
Practice
- Address
- 12539 Retreat Dr
Grand Haven, MI 49417 - Phone
- (706) 466-4639
Registry record
- Primary taxonomy
- 363LW0102X
363LW0102X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan