Provider Demographics
NPI:1417248345
Name:DROUIN, AUTUMN LOUISE (ND)
Entity Type:Individual
Prefix:DR
First Name:AUTUMN
Middle Name:LOUISE
Last Name:DROUIN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3186 OLD TUNNEL RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4133
Mailing Address - Country:US
Mailing Address - Phone:925-949-8604
Mailing Address - Fax:925-949-8436
Practice Address - Street 1:3186 OLD TUNNEL RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4133
Practice Address - Country:US
Practice Address - Phone:925-949-8604
Practice Address - Fax:925-949-8436
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-216175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath