Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shelley Provencher

Individual provider Homemaker · NPI 1083374466

Shelley Provencher is a Homemaker in Northwood, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

3616 Eastpointe Dr Apt 102
Northwood, OH 43619-2175
Phone: (419) 261-7011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Homemaker (primary) Taxonomy 376J00000X

Record details

NPI number1083374466
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 27, 2021
Last updated in NPPESDecember 27, 2021
Certification dateDecember 27, 2021
Mailing address3616 Eastpointe Dr Apt 102, Northwood, OH 43619-2175

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