Ouellette, Todd R

Ouellette, Todd R is an individual health care provider with primary practice located at 2101 Little Mountain Ln , Mount Vernon WA 98274-8752. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Ouellette, Todd R can be contacted via phone (360) 428-2622.

Contact Information

Primary practice address
2101 Little Mountain Ln Mount Vernon WA 98274-8752
Phone: (360) 428-2622
Fax: (360) 428-3941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30002202 Washington

Profile Details

NPI number 1679691505
LBN Legal business name Ouellette, Todd R
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Sep 8th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679691505 NPPES
Washington MEDICAID 9620253

Popular Providers