| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AMIE OUELLETTE | 1689254989 | 2021-07-30 |
Amie Ouellette is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689254989. Registration indicates Amie Ouellette is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Acute Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Acute Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Amie Ouellette |
| Practice Office Address | 100 GRAND ST NEW BRITAIN, CT US |
| Practice Office Telephone | 8602245011 |
| Mailing Address | 100 GRAND ST NEW BRITAIN, CT 060522016 US |
| Business Telephone | 8602245011 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3 Discovery Dr Unit 6079 | Storrs, CT 062696079 | 8604862024 |
| Code | Practice | License No State |
|---|---|---|
| 363LA2100X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Acute Care All Other Specialties & Provider Types Nurse Practitioner Acute Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 9785
CT |
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |