Healthcare Provider Details

I. General information

NPI: 1982246468
Provider Name (Legal Business Name): CRISTINA BRONDER ND, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2019
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 PORTSMOUTH AVE STE 1
STRATHAM NH
03885-2700
US

IV. Provider business mailing address

157 PORTSMOUTH AVE STE 1
STRATHAM NH
03885-2700
US

V. Phone/Fax

Practice location:
  • Phone: 603-440-5153
  • Fax:
Mailing address:
  • Phone: 603-440-5153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number24894
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNP799
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND10027
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number0080
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: