Provider Demographics
NPI:1679033195
Name:LEUCHTENBERGER, CARA ANNE (APRN)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:ANNE
Last Name:LEUCHTENBERGER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:ANNE
Other - Last Name:MCCHESNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 KIMBALL DR UNIT 125
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-2604
Mailing Address - Country:US
Mailing Address - Phone:603-232-8902
Mailing Address - Fax:603-647-8593
Practice Address - Street 1:250 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-7559
Practice Address - Country:US
Practice Address - Phone:603-224-2556
Practice Address - Fax:603-226-5821
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH063585-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily