Provider Demographics
NPI:1598217564
Name:OUELLETTE, PRISCA LANGA (APRN)
Entity Type:Individual
Prefix:MS
First Name:PRISCA
Middle Name:LANGA
Last Name:OUELLETTE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:PRISCA
Other - Middle Name:
Other - Last Name:LANGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:56 MARIE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-3557
Mailing Address - Country:US
Mailing Address - Phone:603-930-0137
Mailing Address - Fax:603-663-7039
Practice Address - Street 1:138 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104
Practice Address - Country:US
Practice Address - Phone:603-663-7030
Practice Address - Fax:603-663-7039
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH051510-23363LA2200X, 363LG0600X
NH051510363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health