Individual
MARK OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2 LIVEWELL DRIVE - NORTH TOWER, KENNEBUNK, ME 04043
(207) 467-6900
Mailing address
PO BOX 1638, ALBANY, NY 12201-1638
(207) 777-4111
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP151002
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP151002
ME
Other
Enumeration date
01/16/2015
Last updated
04/01/2019
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