Individual
RICHARD GEORGE OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 N ELAM AVE, GREENSBORO, NC 27403-1118
(336) 832-1000
Mailing address
PO BOX 26580, GREENSBORO, NC 27415-6580
(336) 832-7786
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
18906
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050007
—
NC
Enumeration date
11/07/2006
Last updated
07/08/2007
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