Healthcare Provider Details

I. General information

NPI: 1790262988
Provider Name (Legal Business Name): NATURAE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2018
Last Update Date: 07/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 ISLINGTON ST. STE 2B
PORTSMOUTH NH
03801
US

IV. Provider business mailing address

501 ISLINGTON ST. STE 2B
PORTSMOUTH NH
03801
US

V. Phone/Fax

Practice location:
  • Phone: 603-610-8882
  • Fax: 603-463-0943
Mailing address:
  • Phone: 603-610-8882
  • Fax: 603-463-0943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number70
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number129
License Number StateNH
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number064827-23
License Number StateNH

VIII. Authorized Official

Name: DR. NICOLE SCHERTELL
Title or Position: MANAGER
Credential: N.D.
Phone: 603-610-8882