Individual
KRISTEN LYNN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
3648 W ANTHEM WAY STE A100, ANTHEM, AZ 85086-7002
(623) 434-6444
Mailing address
9401 W THUNDERBIRD RD STE 155, PEORIA, AZ 85381-4238
(623) 249-2100
(623) 476-7305
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
221035
AZ
Other
Enumeration date
02/06/2019
Last updated
01/02/2024
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