Elyse Provencher, L.AC., M.AC.

Acupuncturist · Annapolis, MD

Individual Active NPI

NPI number 1568673192

Practice location

2009 Tidewater Colony Way
Suite B2
Annapolis, MD 21401-2127
Phone
(410) 573-1938

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NPI record

NPI
1568673192
Entity type
Individual (Type 1)
Enumeration date
May 25, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Acupuncturist Primary 171100000X U01477 MD

Mailing address

68 Harbour Heights Dr
Annapolis, MD 21401-2141
Phone
(410) 573-1938

About Elyse Provencher

Elyse Provencher, L.AC., M.AC. is a healthcare provider registered in the NPI registry with the primary taxonomy Acupuncturist (code 171100000X). The practice location is 2009 Tidewater Colony Way, Suite B2, Annapolis, MD 21401-2127. The NPI number 1568673192 was assigned on May 25, 2007 and the record was last updated on July 8, 2007.

Elyse Provencher lists a license in the registry: #U01477 (MD) for Acupuncturist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Elyse Provencher, L.AC., M.AC.?

The NPI number is 1568673192.

What is the phone number of Elyse Provencher?

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

Where is Elyse Provencher located?

2009 Tidewater Colony Way, Suite B2, Annapolis, MD 21401-2127.

What is the taxonomy code for Elyse Provencher?

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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