CHERYL PROVENCHER LPN
NPI 1033875844
Licensed Practical Nurse in Middletown, NY

Active since November 16, 2021
15 FORTUNE RD W, MIDDLETOWN, NY 10941(518) 477-0156 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cheryl Provencher Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHERYL PROVENCHER LPN (NPI 1033875844) is an individual licensed practical nurse in Middletown, New York, licensed in New York (24706801) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1033875844
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHERYL PROVENCHERCredential: LPN
Location Address15 FORTUNE RD WMiddletown, NY 10941-1625
Mailing Address15 Fortune Rd WMiddletown, NY 10941-1625
Sole ProprietorYes
Enumeration DateNovember 16, 2021
NPPES CertifiedNovember 16, 2021
NPI 1033875844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 24706801
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
15 FORTUNE RD W, Middletown, NY 10941

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Psychiatric/Mental Health)
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Social Worker
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Registered Nurse
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Counselor (Addiction (Substance Use Disorder))
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Counselor (Mental Health)
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Licensed Practical Nurse
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Social Worker
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Registered Nurse
15 FORTUNE RD W
MIDDLETOWN, NY 10941

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheryl Provencher's NPI number?

The NPI number for Cheryl Provencher is 1033875844. It was assigned to this individual provider in the NPPES registry on November 16, 2021.

Where is Cheryl Provencher located?

Cheryl Provencher practices at 15 Fortune Rd W, Middletown, NY 10941. The listed phone number is (518) 477-0156.

What is Cheryl Provencher's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Cheryl Provencher was last updated on November 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.