Healthcare Provider Details

I. General information

NPI: 1023117041
Provider Name (Legal Business Name): JULIE ALAYNE OUELLETTE C.R.N.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE ALAYNE FARRAR C.R.N.A.

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 06/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LAHEY CLINIC 41 MALL ROAD
BURLINGTON MA
01805-0001
US

IV. Provider business mailing address

402 LOWELL ST
READING MA
01867-1529
US

V. Phone/Fax

Practice location:
  • Phone: 781-744-8132
  • Fax: 781-744-2273
Mailing address:
  • Phone: 781-944-1929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number223190
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: