Individual
KATHRYN WADLEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10 MEMBERS WAY STE 203, DOVER, NH 03820-5933
(603) 742-3174
Mailing address
789 CENTRAL AVE, BUSINESS OFFICE, DOVER, NH 03820-2526
(603) 516-4265
(603) 740-2173
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
02544723
NH
363LF0000X
Family Nurse Practitioner
Primary
025447-23
NH
363LF0000X
Family Nurse Practitioner
CNP131094
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281660099
—
ME
05
—
3072150
—
NH
Enumeration date
05/27/2006
Last updated
02/24/2023
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