Individual
CONSTANCE A STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
E 505 N FOOTHILLS DRIVE, STE. 300, SPOKANE, WA 99207-2157
(509) 483-7535
(509) 483-9460
Mailing address
2719 E MOUNT VERNON CT, SPOKANE, WA 99223-5026
(509) 536-7181
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30007480
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APPLYING
APPLYING
—
05
—
APPLYING
—
WA
Enumeration date
09/13/2006
Last updated
07/08/2007
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