NPI 1174951636

Eliane Provencher, NHPBC

Practitioner Nutrition Education Nutritionist West Hartford, CT

Practice location

Address: 345 N Main St Neiha, West Hartford, CT 06117-2515
Phone: (860) 547-1489
Mailing address: 21 Rockwell Rd, Stafford Springs, CT 06076-4513

Registered specialties

Nutrition Education Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133NN1002X Licence RND20007152 (NV)

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Registry record

NPI: 1174951636
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Oct 2013
Record last updated: 21 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.