Individual
STEPHANIE ANN FOUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6701 AIRPORT BLVD., B BLDG., T LEVEL, MOBILE, AL 36608-3764
(251) 625-6896
(251) 266-3209
Mailing address
29653 ANCHOR CROSS BLVD, DAPHNE, AL 36526-9594
(251) 625-6896
(251) 625-6897
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1-134721
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241021
—
AL
05
—
241437
—
AL
05
—
241763
—
AL
01
—
A07863A
MEDICARE PTAN
AL
01
—
P02566938
RAILROAD MEDICARE
AL
Enumeration date
08/07/2019
Last updated
10/27/2021
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