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Naturopathic Doctor — ND/NMD
Total cost: $300
Governing Authority
New Hampshire Naturopathic Board of Examiners — Office of Professional Licensure and Certification (OPLC)
Official website →3 sources cited · Last verified March 2026 · Every number on this page links to its official source
Some details on this page are not yet confirmed against an official source. See sources below or contact the licensing board to verify.
Yes
License Required
Yes
NPLEX Required
Yes
Prescriptive Auth.
Yes
Minor Surgery
45 hrs
CE Hours
$300
Total Initial Fees
CNME-Accredited Program & Degree
VerifiedCNME Program
Required
Program Length
4 years
Degree Level
Graduate from a naturopathic medical college accredited by CNME or another accrediting agency recognized by the federal government, or from a foreign naturopathic medical college with equivalent qualifications
Accredited Schools
Must graduate from a CNME-accredited naturopathic medical college or equivalent.
Naturopathic doctors must complete a 4-year post-graduate doctoral program from a CNME-accredited (Council on Naturopathic Medical Education) naturopathic medical school. The program includes approximately 4,100 hours of classroom and clinical training covering biomedical sciences, clinical sciences, botanical medicine, nutrition, physical medicine, homeopathy, pharmacology, and supervised clinical rotations. There are currently 7 CNME-accredited programs in the United States and Canada.
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NPLEX & State Examinations
VerifiedNPLEX Examination Required
Naturopathic Physicians Licensing Examinations
NPLEX Parts
NPLEX examination
Jurisprudence Exam
No State Jurisprudence Exam
Must pass the American College for Naturopathic Obstetricians (ACNO) examination
Additional Requirements
The NPLEX (Naturopathic Physicians Licensing Examinations) consists of two parts: Part I covers biomedical sciences (anatomy, physiology, biochemistry, microbiology, pathology, and pharmacology) and Part II covers clinical sciences (diagnosis, botanical medicine, nutrition, physical medicine, homeopathy, counseling, minor surgery, pharmacology, and emergency medicine). All licensing states require passage of both parts. Some states additionally require a state-specific jurisprudence examination.
Overall licensing difficulty: 38/100
Study recommendation: 1–2 weeks of focused review is usually sufficient
Practice with realistic exam questions
NPLEX (Naturopathic Physicians Licensing Exam)
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Naturopathic Medicine Exam Prep
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Difficulty rating based on education, exam, and experience requirements. Individual experience may vary.
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State Licensing Requirements
VerifiedState License/Registration Required
State License Title
Naturopathic Doctor
Additional Notes
License fee is $300.
Approximately 25 states plus the District of Columbia license or register naturopathic doctors. States without licensure include Alabama, Arkansas, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, West Virginia, and Wyoming. Only graduates of CNME-accredited programs qualify for state licensure.
Practice Scope & Authority
VerifiedPrescriptive Authority
Yes
Minor Surgery
Yes
Natural Childbirth
Yes
IV Therapy
Yes
Scope Details
New Hampshire NDs have broad scope of practice including prescriptive authority, minor surgery, natural childbirth attendance, and IV therapy. The ACNO examination requirement indicates that obstetric/midwifery training is integrated into the licensing standard.
Naturopathic doctor scope of practice varies enormously by state. States with the broadest scope (Oregon, Washington, Arizona, Vermont, Montana) allow prescriptive authority including some controlled substances, minor surgery, natural childbirth attendance, and IV therapy. Other states have more limited scope covering diagnostic testing, nutritional counseling, botanical medicine, and physical medicine only. In unlicensed states, naturopathic practice may be unregulated or prohibited.
Prescriptive & Procedural Authority
VerifiedPrescriptive Authority Granted
NDs may prescribe medications from an approved formulary
Minor Surgery
Authorized
Natural Childbirth
Authorized
IV Therapy
Authorized
Prescriptive authority for naturopathic doctors varies significantly by state. States with the broadest authority (Oregon, Washington, Arizona, Vermont, Montana) allow NDs to prescribe most non-controlled substances and some controlled substances with DEA registration. Other states limit NDs to a defined formulary of natural and synthetic substances. DEA registration may be available in states with prescriptive authority for controlled substances. Always verify current prescriptive authority with the state licensing board.
| Fee | Amount |
|---|---|
Application Fee | $300 |
License Fee | Included in license fee |
Renewal Fee | Contact OPLC for current renewal fee |
Total Initial Fees License fee of $300 | $300 |
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Renewal & CE Requirements
Verified2 years
Renewal Period
45 hrs
CE Hours Required
Contact OPLC for current renewal fee
Renewal Fee
CE Details
45 hours of continuing education per 2-year renewal cycle; 12 hours must be in pharmacology/pharmacognosy
Regulatory Board
Naturopathic doctor licenses must be renewed on schedule with the state licensing authority. Most licensing states require 20-40 continuing education hours per renewal cycle in naturopathic medicine, pharmacology, clinical sciences, diagnostic techniques, botanical medicine, nutrition, and related professional topics. Some states require specific CE hours in pharmacology for NDs with prescriptive authority.
Out-of-State Reciprocity
VerifiedEndorsement Available
Yes
Comity Available
No
Reciprocity Requirements
Most states that license naturopathic doctors offer reciprocity or endorsement for licensed NDs from other states. Requirements typically include verification of current ND licensure in good standing, graduation from a CNME-accredited program, passage of NPLEX Parts I and II, and completion of a background check. Some states may require a state-specific jurisprudence exam. Scope of practice may differ between states.
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New Hampshire uniquely requires passage of the ACNO (American College for Naturopathic Obstetricians) examination in addition to the NPLEX. This reflects the state's integration of obstetric competency into the baseline ND licensure requirements. The state also requires 12 of the 45 CE hours to be specifically in pharmacology/pharmacognosy.
License fee is $300.
45 CE hours per 2-year cycle with 12 hours in pharmacology/pharmacognosy.
ACNO (American College for Naturopathic Obstetricians) examination required in addition to NPLEX.
Broad scope of practice including prescriptive authority and natural childbirth.
Foreign naturopathic medical college graduates with equivalent qualifications may be eligible.
Regulated by the Naturopathic Board of Examiners under the Office of Professional Licensure and Certification.
Naturopathic Doctor requirements in nearby states
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Naturopathic Doctor Schools in New Hampshire
Compare approved training programs, costs, and requirements.
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Transfer your Naturopathic Doctor license from New Hampshire to: Maine → | Massachusetts → | Vermont →
New Hampshire licenses/registers naturopathic doctors. Prescriptive authority is granted. NPLEX Parts I and II are required. All licensing is managed through the New Hampshire Naturopathic Board of Examiners — Office of Professional Licensure and Certification (OPLC).
Requirements vary by state. Always verify current requirements with your state licensing authority.