GAIL CHRISTINE PROVENCHER APRN (EMERITUS), RN,
NPI 1629245063
Nurse Practitioner - Women's Health in Grand Haven, MI

Active since May 14, 2008
12539 RETREAT DR, GRAND HAVEN, MI 49417(706) 466-4639 Get Directions Write a Review

NPPES record last updated: January 9, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Nurse Practitioner
  • Women's Health

About GAIL PROVENCHER

This page provides the complete NPI Profile along with additional information for Gail Provencher, a provider established in Grand Haven, Michigan with a medical specialization in Nurse Practitioner, focusing in women's health . The healthcare provider is registered in the NPI registry with number 1629245063 assigned on May 2008. The practitioner's primary taxonomy code is 363LW0102X with license number 4704309077 (MI). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1629245063 Verify this NPI
Provider Name
GAIL CHRISTINE PROVENCHER APRN (EMERITUS), RN,
Gender
Female
Entity Type
Individual
Location Address
12539 RETREAT DR GRAND HAVEN, MI 49417
Location Phone
(706) 466-4639
Mailing Address
12539 RETREAT DR GRAND HAVEN, MI 49417
Mailing Phone
(706) 466-4639
Is Sole Proprietor?
Yes
Enumeration Date
05-14-2008
Last Update Date
01-09-2016
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A nurse practitioner (NP) like Gail Provencher is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Women's Health

Taxonomy Code
363LW0102X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
4704309077
License State
MI

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629245063, enumerated as an "individual" on May 14, 2008.

The provider is located at 12539 RETREAT DR GRAND HAVEN, MI 49417 and the phone number is (706) 466-4639.

Nurse Practitioner with taxonomy code 363LW0102X and a focus in Women's Health.