Provider Demographics
NPI:1215487582
Name:BREINING, MEAGAN C (ND)
Entity type:Individual
Prefix:DR
First Name:MEAGAN
Middle Name:C
Last Name:BREINING
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:MEAGAN
Other - Middle Name:C
Other - Last Name:STRODEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:PO BOX 1672
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-9104
Mailing Address - Country:US
Mailing Address - Phone:603-387-0962
Mailing Address - Fax:
Practice Address - Street 1:7 FRYE CIR
Practice Address - Street 2:
Practice Address - City:WOLFEBORO
Practice Address - State:NH
Practice Address - Zip Code:03894-4114
Practice Address - Country:US
Practice Address - Phone:208-742-6700
Practice Address - Fax:208-742-6742
Is Sole Proprietor?:No
Enumeration Date:2016-10-10
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDNMD0033175F00000X
NHND0084175F00000X
WA60679179175F00000X
CAND866175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath