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

Q: What is Gail Provencher's NPI number?

The NPI number for Gail Provencher is 1629245063. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Q: What is Gail Provencher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Gail Provencher was last updated on January 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

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: August 30, 2026.

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About Gail Christine Provencher Aprn (emeritus), Rn, NPPES

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

GAIL CHRISTINE PROVENCHER APRN (EMERITUS), RN, (NPI 1629245063) is an individual women's health provider in Grand Haven, Michigan, licensed in Michigan (4704309077) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1629245063

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameGAIL CHRISTINE PROVENCHERCredential: APRN (EMERITUS), RN,

Location Address12539 RETREAT DRGrand Haven, MI 49417-7672

Mailing Address12539 Retreat DrGrand Haven, MI 49417-7672 · (706) 466-4639

Phone(706) 466-4639

Sole ProprietorYes

Enumeration DateMay 14, 2008

Last NPPES UpdateJanuary 9, 2016

✔ NPI 1629245063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in MI · 4704309077

12539 RETREAT DR, Grand Haven, MI 49417

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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 Gail Provencher's NPI number?

The NPI number for Gail Provencher is 1629245063. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Gail Provencher located?

Gail Provencher practices at 12539 Retreat Dr, Grand Haven, MI 49417. The listed phone number is (706) 466-4639.

What is Gail Provencher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Gail Provencher was last updated on January 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.