Provider Demographics
NPI:1750404554
Name:CADEGAN PAQUETTE, LEAH MARIE (ARNP)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:MARIE
Last Name:CADEGAN PAQUETTE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NH
Mailing Address - Zip Code:03275-1433
Mailing Address - Country:US
Mailing Address - Phone:603-626-0089
Mailing Address - Fax:
Practice Address - Street 1:50 PINEWOOD RD
Practice Address - Street 2:
Practice Address - City:ALLENSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03275-2366
Practice Address - Country:US
Practice Address - Phone:603-485-7861
Practice Address - Fax:603-485-2437
Is Sole Proprietor?:No
Enumeration Date:2007-04-08
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH043874-23-03363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30346296Medicaid
P93335Medicare UPIN
NH30346296Medicaid