DIANE F OUELLETTE

BANGOR, ME
NPI1114009990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ME  AP081148)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ME  037262)
Enumeration Date2006-10-20
Last Update Date2011-10-10
Business Address
-- DIANE F OUELLETTE PMHNP
1012 UNION ST.
BANGOR, ME 04401
Phone number: 207-945-5247
Mailing Address
-- DIANE F OUELLETTE PMHNP
PO BOX 1599
BANGOR, ME 04402-1599
Phone number: 207-945-5247
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