Organization
STARBOARD ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A OUELLETTE CRNA (OWNER)
(617) 710-7433
Entity
Organization
Contact information
Practice address
1072 SHORE RD, CAPE ELIZABETH, ME 04107-1920
(617) 710-7433
Mailing address
1072 SHORE RD, CAPE ELIZABETH, ME 04107-1920
(617) 710-7433
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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