Individual
MRS. KRISTY MARIE STOUTENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1231 PINE GROVE AVE STE 1A, PORT HURON, MI 48060-3500
(810) 985-4300
Mailing address
1231 PINE GROVE AVE STE 1A, PORT HURON, MI 48060-3500
(810) 985-4300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704275625
MI
Other
Enumeration date
11/24/2021
Last updated
11/08/2022
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