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ELYSE PROVENCHER LLC
NPI 1356607428
Acupuncturist in Annapolis, MD

Active since April 03, 2012
2009 TIDEWATER COLONY DR, SUITE B2, ANNAPOLIS, MD 21401(410) 573-1938 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elyse Provencher Llc NPPES

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

ELYSE PROVENCHER LLC (NPI 1356607428) is a healthcare organization registered as an acupuncturist in Annapolis, Maryland and active in the NPI registry since April 2012. The organization lists Elyse Provencher, President, as its authorized official.

NPPES Registry Identity

NPI1356607428
Entity TypeOrganization
Primary Taxonomy171100000X
Legal Business NameELYSE PROVENCHER LLC
Location Address2009 TIDEWATER COLONY DR, SUITE B2Annapolis, MD 21401-2107
Mailing Address2009 Tidewater Colony Dr, Suite B2Annapolis, MD 21401-2107 · (410) 573-1938
Phone(410) 573-1938
Organization SubpartNo
Authorized OfficialElyse ProvencherPresident · (410) 573-1938
Enumeration DateApril 3, 2012
✔ NPI 1356607428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
2009 TIDEWATER COLONY DR, Annapolis, MD 21401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CARRIE BETH LAMBERT LGPC
Counselor
2009 TIDEWATER COLONY DR, STE 2A
ANNAPOLIS, MD 21401
Anne Arundel County (410) 441-3489

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 Elyse Provencher LLC's NPI number?

The NPI number for Elyse Provencher LLC is 1356607428. It was assigned to this organization in the NPPES registry on April 3, 2012.

Where is Elyse Provencher LLC located?

Elyse Provencher LLC is located at 2009 Tidewater Colony Dr Suite B2, Annapolis, MD 21401. The listed phone number is (410) 573-1938.

What is Elyse Provencher LLC's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Elyse Provencher LLC was last updated on April 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.