Individual provider · NPI-1

Nancy Ellen Braese, DO

Family Medicine · Dover, NH

NPI number1932176328
StatusActive
Last updated in NPPESJan 2, 2017

Details

NPI
1932176328
Entity type
Individual (NPI-1)
Name
Nancy Ellen Braese
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Mar 3, 2006
Last updated
Jan 2, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine7457NHYes
207QG0300X Family Medicine, Geriatric Medicine7457NH

Practice location

10 Members Way
Suite 200
Dover, NH 03820-5933

Phone 603-609-6930

Mailing address

789 Central Ave
Dover, NH 03820-2526

Phone 603-740-4478

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