Healthcare Provider Details

I. General information

NPI: 1730529678
Provider Name (Legal Business Name): NATURAE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2013
Last Update Date: 06/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SHATTUCK WAY
NEWINGTON NH
03801-8004
US

IV. Provider business mailing address

100 SHATTUCK WAY
NEWINGTON NH
03801-8004
US

V. Phone/Fax

Practice location:
  • Phone: 603-610-7718
  • Fax:
Mailing address:
  • Phone: 603-610-7718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number70
License Number StateNH

VIII. Authorized Official

Name: PATTY LOYND
Title or Position: OFFICE MANAGER
Credential:
Phone: 603-610-7718