Provider Demographics
NPI:1417431669
Name:SURPRENANT, RACHEL (ND)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:SURPRENANT
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 1:20 DEPOT ST STE 3
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-1453
Mailing Address - Country:US
Mailing Address - Phone:603-803-6553
Mailing Address - Fax:
Practice Address - Street 1:20 DEPOT ST STE 3
Practice Address - Street 2:
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-1453
Practice Address - Country:US
Practice Address - Phone:603-803-6553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-23
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath