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Contact Information

ELLEN OUELLETTE, MD
CEDAR HILLS ROAD & AZ 264
GANADO, AZ86505
 Phone: 928-755-4500
 Fax: 928-755-4659
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ELLEN OUELLETTE · (Female)

NPI Number 1144719048
Status Active
Credentials MD
Entity Individual
Enumeration date 05/07/2018
Last updated 02/05/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # 79194
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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