Individual
JULIE LEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
15 OLD ROLLINSFORD RD, BUILDING B, DOVER, NH 03820-2868
(603) 516-4265
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 516-4265
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
04858823
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3072253
—
NH
01
—
P00923474
RAILROAD MEDICARE
NH
Enumeration date
10/01/2010
Last updated
12/12/2016
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