License holder summary

HEIDE M PROVENCHER is a Nurses - Authorized Advanced Nurse Practitioner licensed to practice in Alaska. The address on file for HEIDE M PROVENCHER is 2437 INGRA ST. ANCHORAGE AK 99508. This licensed professional license is current. The license was granted 02/01/2013 and expired on 11/30/2016.

Alaska

Division of Corporations, Business and Professional Licensing

HEIDE M PROVENCHER
Nurses - Authorized Advanced Nurse Practitioner
License number
1343
Date granted
02/01/2013
Date expires
11/30/2016
Class
Nurses - Authorized Advanced Nurse Practitioner
Status
Licensed
Address
2437 INGRA ST. ANCHORAGE AK 99508
alaskalicensing.com
ID 20247572
LAST UPDATED 2024-03-19 03:44:57 UTC

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