Individual
MS. SUSAN OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2124 RAMONA LN, WOODSTOCK, MD 21163-1248
(410) 236-9951
Mailing address
2124 RAMONA LN, WOODSTOCK, MD 21163-1248
(410) 236-9951
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
00000
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
003720
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0386509
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
36255
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R117618
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015LM670
MEDICARE NUMBER URBAN BEHAVIORAL ASSOCIATES
MD
01
—
537442000
MAGELLAN
MD
01
—
61087301-PR31
CAREFIRST
MD
05
—
772103000
—
MD
01
—
M644-0001
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
10/27/2006
Last updated
05/21/2024
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