Individual
PENNY STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N. APRN
Contact information
Practice address
311 TRENT DRIVE, DURHAM, NC 27705
(919) 681-2237
(919) 681-8521
Mailing address
4925 WINEBERRY DR, DURHAM, NC 27713-2377
(919) 943-9407
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
106077
NC
Other
Enumeration date
01/09/2007
Last updated
02/09/2023
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