Individual
MRS. MARY ELLEN STOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(303) 645-3351
(302) 645-0965
Mailing address
34708 RINGBOLT AVE, MILLSBORO, DE 19966-6167
(717) 873-0059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN188871L
PA
163WC1500X
Community Health Registered Nurse
Primary
L1-0044665
DE
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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