Provider Demographics
NPI:1245435619
Name:ISELIN, NINA (ND)
Entity type:Individual
Prefix:DR
First Name:NINA
Middle Name:
Last Name:ISELIN
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 1:17 NUBANUSIT RD
Mailing Address - Street 2:
Mailing Address - City:NELSON
Mailing Address - State:NH
Mailing Address - Zip Code:03457
Mailing Address - Country:US
Mailing Address - Phone:603-827-3971
Mailing Address - Fax:603-924-6679
Practice Address - Street 1:174 CONCORD ST.
Practice Address - Street 2:
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458
Practice Address - Country:US
Practice Address - Phone:603-827-3971
Practice Address - Fax:603-924-6679
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH61171100000X
NH11175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist