Individual
RAQUEL M MAHIDASHTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
591 CENTER STREET, WOLFEBORO, NH 03894
(603) 515-1039
Mailing address
591 CENTER STREET, WOLFEBORO, NH 03894
(603) 515-1039
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00127200
NJ
363LF0000X
Family Nurse Practitioner
Primary
113219-23
NH
363LF0000X
Family Nurse Practitioner
335056
NY
Other
Enumeration date
01/23/2006
Last updated
07/10/2026
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