DIANE F OUELLETTE (NPI# 1114009990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114009990 |
| Entity Type | Individual |
| Full Name | DIANE F OUELLETTE |
| Credential | PMHNP |
| Practice Address |
1012 Union St. Bangor ME 04401 |
| Mailing Address |
Po Box 1599 Bangor ME 04402-1599 |
| Practice Telephone | 2079455247 |
| Practice Fax Number | 2079901248 |
| Mailing Telephone | 2079455247 |
| Mailing Fax Number | 2079470435 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2011-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP081148 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
037262 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1012 UNION ST. |
| City | BANGOR |
| State | ME |
| Zip Code | 04401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346699790 | Chad Osmars | Pharmacist | 1012 Union St., Penobscot Community Health Center - Pharmacy, Bangor, ME 04401 | 2016-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770828857 | Carlarae Jean Peavey-mitchell | Nurse Practitioner | 268 Stillwater Ave # 422, Bangor, ME 04401-3945 | 2012-11-30 |
| 1326319716 | Rachel Audrey Booker | Nurse Practitioner | 42 Cedar St., Bangor, ME 04402 | 2012-01-18 |
| 1518236306 | Moving Forward Mental Health Services | Nurse Practitioner | 61 Main St Ste 53, Bangor, ME 04401-6333 | 2011-12-22 |
| 1407976772 | Deborah L Maclean | Nurse Practitioner | 179 Indiana Avenue, Bangor, ME 04401 | 2007-03-30 |
| 1356476436 | Nancy J Grover | Nurse Practitioner | 42 Cedar Street, Bangor, ME 04402-0425 | 2007-02-22 |
| 1497847065 | Virginia M Merrill | Nurse Practitioner | 42 Cedar St, Community Health and Counseling Services, Bangor, ME 04401-6433 | 2006-09-29 |
| 1629050992 | Melissa Marie Charette | Nurse Practitioner | 175 Union St, Suite C, Bangor, ME 04401-6100 | 2005-11-14 |
| 1407457898 | Shannon Cook | Nurse Practitioner | 268 Stillwater Ave, Bangor, ME 04401-3945 | 2020-11-03 |
| 1013515477 | Crystle Eldridge | Nurse Practitioner | 268 Stillwater Ave, Bangor, ME 04401-3945 | 2020-10-16 |
| 1093323560 | Rachel Anne Muncey | Nurse Practitioner | 268 Stillwater Ave, Bangor, ME 04401-3945 | 2020-07-21 |
| Find all providers in BANGOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.