Individual
LESLIE CLUKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2 WALL ST, SUITE 300, MANCHESTER, NH 03101-1518
(603) 668-4111
(603) 641-6910
Mailing address
2 WALL ST STE 300, MANCHESTER, NH 03101-1518
(603) 668-4111
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
028524-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
028524-23-08
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020258994-22
HARVARD PILGRIM
NH
01
—
1039176
CIGNA
NH
01
—
4005788Y0NH01
BLUE CROSS
NH
Enumeration date
09/15/2006
Last updated
03/18/2021
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