Individual
CHRISTINA E STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1739 CLEVELAND RD, WOOSTER, OH 44691-2203
(330) 262-2500
(330) 264-8713
Mailing address
1739 CLEVELAND RD, WOOSTER, OH 44691-2203
(330) 262-2500
(330) 264-8713
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
NP07951
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP07951
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2524432
—
OH
Enumeration date
12/22/2005
Last updated
06/15/2022
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