Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLEY PROVENCHER
Active Sole ProprietorSHELLEY PROVENCHER is a Homemaker healthcare provider located in NORTHWOOD, Ohio. NPI 1083374466 is currently active in the NPPES registry. Verify at CMS.
Homemaker · NORTHWOOD, OH
Registration Details
- NPI Number
- 1083374466
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2021 (4.6233393721991 yrs)
- Last Updated
- Dec 27, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
3616 EASTPOINTE DR APT 102NORTHWOOD, OH, 436192175Browse OH providers · Browse ZIP 43619
- Phone
- 4192617011
- Primary Specialty
-
Homemaker
376J00000X
Other Homemaker Providers in NORTHWOOD, OH
| Name | Credential | NPI |
|---|---|---|
| MARIAH PYTLARZ | — | 1699533380 |
| ANGELA L LAUTZENHEISER | — | 1487450300 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.