Individual
ANN MARCELLE PROVENCHER
Active
Individual
ANN MARCELLE PROVENCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704155196
MI
163WC0400X
Case Management Registered Nurse
Primary
4704155196
MI
163WC1500X
Community Health Registered Nurse
4704155196
MI
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704155196
MI
Other
Enumeration date
02/27/2007
Last updated
09/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up