Individual
MS. AMY H STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11531 SUNDERLAND RD, MARION, IL 62959-8274
(618) 922-7257
Mailing address
11531 SUNDERLAND RD, MARION, IL 62959-8274
(618) 922-7257
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041219665
IL
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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