Provider Demographics
NPI:1356891170
Name:DRAGG, DARLYN SHAKIRA (NMD)
Entity type:Individual
Prefix:DR
First Name:DARLYN
Middle Name:SHAKIRA
Last Name:DRAGG
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 PORTSMOUTH AVE STE E
Mailing Address - Street 2:
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885-4409
Mailing Address - Country:US
Mailing Address - Phone:603-682-4664
Mailing Address - Fax:603-499-4420
Practice Address - Street 1:81 PORTSMOUTH AVE STE E
Practice Address - Street 2:
Practice Address - City:STRATHAM
Practice Address - State:NH
Practice Address - Zip Code:03885-4409
Practice Address - Country:US
Practice Address - Phone:603-677-1484
Practice Address - Fax:603-499-4420
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-04
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16-1562175F00000X
NH135175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath