Individual
MS. DAWN YVETTE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BCFNP
Contact information
Practice address
189 IOWA BLVD, TRENTON, MO 64683-8343
(660) 358-5750
(660) 358-5740
Mailing address
189 IOWA BLVD, TRENTON, MO 64683-8343
(660) 358-5750
(660) 358-5740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
141974
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376654178
—
MO
Enumeration date
08/31/2006
Last updated
08/19/2011
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