Healthcare Provider Details

I. General information

NPI: 1699804906
Provider Name (Legal Business Name): KAREN BETH BRAGA N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2007
Last Update Date: 03/13/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

442 MARRETT RD SUITE 8
LEXINGTON MA
02421-7725
US

IV. Provider business mailing address

442 MARRETT RD STE 8
LEXINGTON MA
02421-7749
US

V. Phone/Fax

Practice location:
  • Phone: 781-274-6190
  • Fax:
Mailing address:
  • Phone: 617-460-5098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number000219
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND0016
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: