Individual
JOSEPH OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
12 HERMON AVE, HAVERHILL, MA 01832-3706
(978) 521-4431
Mailing address
12 HERMON AVE, HAVERHILL, MA 01832-3706
(978) 521-4431
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
232274
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0321486
—
MA
Enumeration date
03/29/2007
Last updated
07/08/2007
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