Provider Demographics
NPI:1790262988
Name:NATURAE, LLC
Entity Type:Organization
Organization Name:NATURAE, LLC
Other - Org Name:VIBRANT HEALTH NATUROPATHIC MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHERTELL
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:603-610-8882
Mailing Address - Street 1:501 ISLINGTON ST.
Mailing Address - Street 2:STE 2B
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801
Mailing Address - Country:US
Mailing Address - Phone:603-610-8882
Mailing Address - Fax:603-463-0943
Practice Address - Street 1:501 ISLINGTON ST.
Practice Address - Street 2:STE 2B
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801
Practice Address - Country:US
Practice Address - Phone:603-610-8882
Practice Address - Fax:603-463-0943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH70175F00000X
NH129175F00000X
NH064827-23363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty