Healthcare Provider Details

I. General information

NPI: 1194101535
Provider Name (Legal Business Name): KAROLINA PRAY ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2015
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 FOUR SEASONS FARM RD
WELLS ME
04090-6096
US

IV. Provider business mailing address

43 FOUR SEASONS FARM RD
WELLS ME
04090-6096
US

V. Phone/Fax

Practice location:
  • Phone: 331-806-0342
  • Fax:
Mailing address:
  • Phone: 331-806-0342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNP887
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number0160
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: