Healthcare Provider Details

I. General information

NPI: 1215172762
Provider Name (Legal Business Name): RACHEL MARIE ANDERSON N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2008
Last Update Date: 05/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 GREENLEAF WOODS DR UNIT 102
PORTSMOUTH NH
03801-5443
US

IV. Provider business mailing address

6 GREENLEAF WOODS DR UNIT 102
PORTSMOUTH NH
03801-5443
US

V. Phone/Fax

Practice location:
  • Phone: 410-299-6360
  • Fax:
Mailing address:
  • Phone: 410-299-6360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number91
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberN013
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: