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Individual

HEIDE PROVENCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
PO BOX 174, HOPE, AK 99605-0174
(907) 227-6610
Mailing address
2437 INGRA ST, ANCHORAGE, AK 99508-3945
(907) 227-6610

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1343
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1343
AK

Other

Enumeration date
08/02/2013
Last updated
02/18/2026
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