Healthcare Provider Details

I. General information

NPI: 1013820273
Provider Name (Legal Business Name): RAQUEL DOROTHY LEAFE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RAQUEL DOROTHY BROOKS

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 MILL POND LN
HAMPTON NH
03842-1412
US

IV. Provider business mailing address

19 MILL POND LN
HAMPTON NH
03842-1412
US

V. Phone/Fax

Practice location:
  • Phone: 603-486-1441
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number088612-21
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: