Provider Demographics
NPI:1770123937
Name:BRANCHES WHOLE HEALTH
Entity type:Organization
Organization Name:BRANCHES WHOLE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHAUSSE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:603-261-6998
Mailing Address - Street 1:18 CHARRON AVENUE
Mailing Address - Street 2:SUITE 10A
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063
Mailing Address - Country:US
Mailing Address - Phone:603-261-6998
Mailing Address - Fax:603-606-1199
Practice Address - Street 1:28 CHARRON AVE STE 10A
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1735
Practice Address - Country:US
Practice Address - Phone:603-261-6998
Practice Address - Fax:603-606-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-15
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty