Healthcare Provider Details

I. General information

NPI: 1679033195
Provider Name (Legal Business Name): CARA ANNE LEUCHTENBERGER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARA ANNE MCCHESNEY

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 12/28/2021
Certification Date: 12/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 PLEASANT ST
CONCORD NH
03301-7559
US

IV. Provider business mailing address

11 KIMBALL DR UNIT 125
HOOKSETT NH
03106-2604
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-2556
  • Fax: 603-226-5821
Mailing address:
  • Phone: 603-232-8902
  • Fax: 603-647-8593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number063585-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: