# EDEN INTEGRATIVE MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417864380
- **Authorized official:** AUDRA J. WILSON MSN, APRN, FNP-C (MANAGER/OWNER)
- **Authorized official phone:** (603) 338-8757

## Contact information

- **Practice address:** 626 RT. 10, GILSUM, NH 03448
- **Practice address phone:** (603) 338-8757
- **Mailing address:** 135 SILENT WAY, KEENE, NH 03431-4739
- **Mailing address phone:** (603) 338-8757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2026
- **Last updated:** 08/26/2026