Individual
ALEXIS STOUTAMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 N CANFIELD NILES RD, AUSTINTOWN, OH 44515-2343
(330) 646-7528
Mailing address
45 N CANFIELD NILES RD, AUSTINTOWN, OH 44515-2343
(330) 646-7528
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.170808.MEDS-IV
OH
314000000X
Skilled Nursing Facility
401107650610
OH
Other
Enumeration date
05/20/2014
Last updated
01/26/2023
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