Individual
DANICA STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10315 E BROADWAY BLVD, TUCSON, AZ 85748-3409
(520) 490-7810
Mailing address
161 WASHINGTON ST FL 14, EIGHT TOWER BRIDGE SUITE 1400, CONSHOHOCKEN, PA 19428-2083
(866) 825-3227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2318
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
976087
—
AZ
Enumeration date
12/28/2005
Last updated
11/14/2007
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