Elyse Provencher LLC

Acupuncturist · Annapolis, MD

Organization Active NPI

NPI number 1356607428

Practice location

2009 Tidewater Colony Dr
Suite B2
Annapolis, MD 21401-2107
Phone
(410) 573-1938

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NPI record

NPI
1356607428
Entity type
Organization (Type 2)
Enumeration date
April 3, 2012
Last updated
April 3, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Acupuncturist Primary 171100000X — —

Authorized official

Name
Elyse Provencher, L.AC.
Title
President
Phone
(410) 573-1938

About Elyse Provencher LLC

Elyse Provencher LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Acupuncturist (code 171100000X). The practice location is 2009 Tidewater Colony Dr, Suite B2, Annapolis, MD 21401-2107. The NPI number 1356607428 was assigned on April 3, 2012 and the record was last updated on April 3, 2012.

The authorized official for this organization is Elyse Provencher, L.AC., President.

Frequently asked questions

What is the NPI number of Elyse Provencher LLC?

The NPI number is 1356607428.

What is the phone number of Elyse Provencher LLC?

The phone number listed for the practice location is (410) 573-1938.

Where is Elyse Provencher LLC located?

2009 Tidewater Colony Dr, Suite B2, Annapolis, MD 21401-2107.

What is the taxonomy code for Elyse Provencher LLC?

The primary taxonomy code is 171100000X – Acupuncturist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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