Provider Demographics
NPI:1457836579
Name:KRAKE, BRITTANY LAUREN (ND)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:LAUREN
Last Name:KRAKE
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 1:122 EXETER RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-1909
Mailing Address - Country:US
Mailing Address - Phone:661-877-6747
Mailing Address - Fax:
Practice Address - Street 1:501 ISLINGTON ST STE 2B
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4288
Practice Address - Country:US
Practice Address - Phone:603-610-8882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-25
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4186175F00000X
NH0064175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath