Individual
CHRISTINA OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 833-3622
Mailing address
55 DODGE RD, GETZVILLE, NY 14068-1205
(716) 831-2700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
689550-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404554-01
NY
Other
Enumeration date
11/02/2015
Last updated
12/14/2023
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