Healthcare Provider Details

I. General information

NPI: 1477023901
Provider Name (Legal Business Name): NEW ENGLAND NATUROPATHIC HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2018
Last Update Date: 11/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 MAIN ST STE 408
WATERVILLE ME
04901-6672
US

IV. Provider business mailing address

179 MAIN ST STE 408
WATERVILLE ME
04901-6672
US

V. Phone/Fax

Practice location:
  • Phone: 207-873-9380
  • Fax: 207-352-5217
Mailing address:
  • Phone: 207-873-9380
  • Fax: 207-352-5217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DR. CORRIE MARINARO
Title or Position: BUSINESS OWNER/NATUROPATHIC DOCTOR
Credential: ND
Phone: 207-873-9380