Healthcare Provider Details

I. General information

NPI: 1326838640
Provider Name (Legal Business Name): HEGNAUER HOLISTIC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 PENACOOK RD
NORTH SUTTON NH
03260-5555
US

IV. Provider business mailing address

PO BOX 102
HOPKINTON NH
03229-0102
US

V. Phone/Fax

Practice location:
  • Phone: 603-927-4880
  • Fax: 877-254-6906
Mailing address:
  • Phone: 603-927-4880
  • Fax: 877-254-6906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. AMANDA KATHLEEN HEGNAUER
Title or Position: PHYSICIAN/OWNER
Credential: ND
Phone: 603-927-4880