MRS. CASSANDRA DESMOND OUELLETTE ANP-BC NPI 1760796551

NPI Information

NPI: 1760796551
Provider Name: MRS. CASSANDRA DESMOND OUELLETTE, ANP-BC
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
1131 WEST ST STE 2
SOUTHINGTON, CT
ZIP 06489
Phone: (860) 276-6800
Get Directions

MRS. Cassandra Desmond Ouellette, ANP-BC is a women's health nurse practitioner in Southington, CT with 14 years of experience. MRS. Cassandra Desmond Ouellette, ANP-BC NPI is 1760796551. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1131 WEST ST STE 2
SOUTHINGTON, CT
ZIP 06489-006
Phone: (860) 276-6800
Fax: (860) 276-6801

The NPI 1760796551 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2010 and was last updated on 11/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	RN2259179	MASSACHUSETTS	No
2	363L00000X	Nurse Practitioner		RN2259179	MASSACHUSETTS	No
3	363LA2200X	Nurse Practitioner	Adult Health	RN2259179	MASSACHUSETTS	No
4	363LA2200X	Nurse Practitioner	Adult Health	12.010920	CONNECTICUT	No
5	363LW0102X	Nurse Practitioner	Women's Health	12.010920	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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