Provider Demographics
NPI:1578293999
Name:OUELLET, ANDREW (CRNP; FNP-C)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:OUELLET
Suffix:
Gender:M
Credentials:CRNP; FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 N GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17551-1524
Mailing Address - Country:US
Mailing Address - Phone:203-805-9982
Mailing Address - Fax:
Practice Address - Street 1:1135 HAMPDEN DR
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:PA
Practice Address - Zip Code:17579-1123
Practice Address - Country:US
Practice Address - Phone:717-687-0313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-17
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025620363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily