Provider Demographics
NPI:1306355649
Name:NELSON, ERIK OWEN (ND)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:OWEN
Last Name:NELSON
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:646 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:WOLFEBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03894-4815
Mailing Address - Country:US
Mailing Address - Phone:603-569-5545
Mailing Address - Fax:603-569-0545
Practice Address - Street 1:646 CENTER ST
Practice Address - Street 2:
Practice Address - City:WOLFEBORO
Practice Address - State:NH
Practice Address - Zip Code:03894-4815
Practice Address - Country:US
Practice Address - Phone:603-569-5545
Practice Address - Fax:603-569-0545
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0003175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath