Phyllis J. Stout in Springfield - Family

Phyllis J. Stout - NPI 1457496895

Phyllis J. Stout is a Family in Springfield, Missouri. Phyllis J. Stout practices all healthcare services and medical treatments related to Family. The NPI Number for Phyllis J. Stout is 1457496895. The last update date is 2008-11-18.

Phyllis J. Stout's current location address is Po Box 2580, Springfield, Missouri. You can contact this provider via phone number 4178294620 and fax number 4178294316. The mailing address for Phyllis J. Stout is Po Box 2580, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Phyllis J. Stout
Address Po Box 2580, Springfield, Missouri
Phone Number 4178294620
Fax Number 4178294316
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1457496895
Provider Enumeration Date 2007-02-21
Last Updated Date 2008-11-18

Provider Mailing Address Detail

Address Po Box 2580
City Springfield
State Missouri (MO)
Post Code 658012580
Phone Number 4178294620
Fax Number 4178294316

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 52911
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
431560263 TRICARE WEST
429683519 MO --
171792758 AR --

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FAQs about Phyllis J. Stout

What is the unique 10-digit identification code assigned to Phyllis J. Stout by the Centers for Medicare & Medicaid Services?

The Phyllis J. Stout has been issued the NPI (National Provider Identifier) 1457496895, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Phyllis J. Stout's facilities are situated?

The facilities of Phyllis J. Stout are physically located at the following address: Po Box 2580, Springfield, MO, 658012580.

What is the Phyllis J. Stout's area of specialization and corresponding taxonomy classification?

The Phyllis J. Stout's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.

On what date did Phyllis J. Stout receive its 1457496895 assignment from the Centers for Medicare & Medicaid Services?

The Phyllis J. Stout was assigned its 1457496895 on 2007-02-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Phyllis J. Stout, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Phyllis J. Stout, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-11-18.

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