Healthcare Provider Details

I. General information

NPI: 1417317017
Provider Name (Legal Business Name): RACHAEL K SMITH APRN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2016
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HITCHCOCK WAY
MANCHESTER NH
03104-4125
US

IV. Provider business mailing address

2300 SOUTHWOOD DRIVE FAMILY MEDICINE
NASHUA NH
03063
US

V. Phone/Fax

Practice location:
  • Phone: 603-695-2500
  • Fax: 603-640-1228
Mailing address:
  • Phone: 603-577-4440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number062714-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: