Healthcare Provider Details

I. General information

NPI: 1063580652
Provider Name (Legal Business Name): NORTH COAST FAMILY HEALTH - NATUROPATHIC MEDICINE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MARKET ST SUITE 1F
PORTSMOUTH NH
03801-3458
US

IV. Provider business mailing address

500 MARKET ST SUITE 1F
PORTSMOUTH NH
03801-3458
US

V. Phone/Fax

Practice location:
  • Phone: 603-427-6800
  • Fax:
Mailing address:
  • Phone: 603-427-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number002
License Number StateNH

VIII. Authorized Official

Name: DR. KRISTY LEE FASSLER
Title or Position: NATUROPATHIC DOCTOR
Credential: N.D.
Phone: 603-427-6800