| Doctor Name: | EVELYN M OUELLETTE |
| NPI Number: | 1770586398 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | F334898 |
| Business Practice Address: | 117 Main St Salamanca, NY - 147791529 |
| Business Phone Number: | 7169455500 |
| Business Fax Number: | 7169455506 |
| Mailing Address: | 12451 Eldredge Rd, CONEWANGO VALLEY |
| State: | NY |
| Postal Code: | 147269741 |
| Phone Number: | 7162965830 |
| Fax Number: | 7162965830 |
| NPI Enumeration Date: | 05/27/2005 |
| NPI Last Update Date: | 08/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F334898 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |