Healthcare Provider Details

I. General information

NPI: 1588065445
Provider Name (Legal Business Name): MADDIE DALGLIESH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2014
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 PLEASANT ST STE 6073
CONCORD NH
03301-2598
US

IV. Provider business mailing address

250 PLEASANT ST
CONCORD NH
03301-2598
US

V. Phone/Fax

Practice location:
  • Phone: 603-227-7000
  • Fax: 603-227-7588
Mailing address:
  • Phone: 603-227-7000
  • Fax: 603-227-7827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number059740-23
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number26NJ00523100
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code163WN0800X
TaxonomyNeuroscience Registered Nurse
License Number26NR17441400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: