Individual
NANCY ELLEN BRAESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10 MEMBERS WAY, SUITE 200, DOVER, NH 03820-5933
(603) 609-6930
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-4478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7457
NH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
7457
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3076887
—
NH
Enumeration date
03/03/2006
Last updated
01/02/2017
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