Individual
KRISTEN OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6505 MARKET ST, BOARDMAN, OH 44512-3457
(330) 746-9200
(330) 746-9201
Mailing address
6505 MARKET ST, BOARDMAN, OH 44512-3457
(330) 746-9200
(330) 746-9201
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.18050
OH
Other
Enumeration date
09/28/2016
Last updated
10/05/2016
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