Provider Demographics
NPI:1780463760
Name:PRAIN, KATRINA FAYE (ND, CNHP, CHS)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:FAYE
Last Name:PRAIN
Suffix:
Gender:F
Credentials:ND, CNHP, CHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9504 ARGENTINE RD
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:MI
Mailing Address - Zip Code:48451-8522
Mailing Address - Country:US
Mailing Address - Phone:810-875-3233
Mailing Address - Fax:
Practice Address - Street 1:9504 ARGENTINE RD
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:MI
Practice Address - Zip Code:48451-8522
Practice Address - Country:US
Practice Address - Phone:810-875-3233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath