Healthcare Provider Details

I. General information

NPI: 1922087469
Provider Name (Legal Business Name): LEIGH A BEARS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 MAIN ST BAIRD HEALTH AND COUNSELING CENTER
NEW LONDON NH
03257-7818
US

IV. Provider business mailing address

276 NEWPORT RD SUITE 107
NEW LONDON NH
03257-5468
US

V. Phone/Fax

Practice location:
  • Phone: 603-526-3621
  • Fax: 603-526-3453
Mailing address:
  • Phone: 603-526-4144
  • Fax: 603-526-4167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number044747-23-03
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: