1023117041 NPI number — JULIE ALAYNE OUELLETTE C.R.N.A.

Table of content: JULIE ALAYNE OUELLETTE C.R.N.A. (NPI 1023117041)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023117041 NPI number — JULIE ALAYNE OUELLETTE C.R.N.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OUELLETTE
Provider First Name:
JULIE
Provider Middle Name:
ALAYNE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
C.R.N.A.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FARRAR
Provider Other First Name:
JULIE
Provider Other Middle Name:
ALAYNE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
C.R.N.A.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1023117041
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/06/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
402 LOWELL ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
READING
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01867-1529
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-944-1929
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
LAHEY CLINIC
Provider Second Line Business Practice Location Address:
41 MALL ROAD
Provider Business Practice Location Address City Name:
BURLINGTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01805-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-744-8132
Provider Business Practice Location Address Fax Number:
781-744-2273
Provider Enumeration Date:
09/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367500000X , with the licence number:  223190 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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