National Provider Identifier

Emily Provencher, RN

Emily Provencher, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Williamsville, NY and a listed phone number of (716) 276-2123.

NPI 1861764953Williamsville, NYRegistered Nurse

Profile Overview

NPI
1861764953
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
February 03, 2012
Last Updated
February 03, 2012

Practice Location

  • 2250 Wehrle Dr
  • Suite 1
  • Williamsville, NY 14221-7034

Phone: (716) 276-2123

Mailing Address

  • 1890 Hartland RD
  • Barker, NY 14012

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1861764953
Entity Type
Individual
Last Name
Provencher
First Name
Emily
Credential
RN
Mailing Street Address
1890 Hartland RD
Mailing City
Barker
Mailing State
NY
Mailing ZIP Code
14012
Mailing Country
US
Mailing Phone
(716) 435-6503
Practice Street Address
2250 Wehrle Dr
Practice Address Line 2
Suite 1
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-7034
Practice Country
US
Practice Phone
(716) 276-2123
Practice Fax
(716) 276-2129
Enumeration Date
February 03, 2012
Last Updated
February 03, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)