Individual
DAVE STOUT
Active
Individual
DAVE STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
1623113
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623113
REGISTERED NURSE
—
Enumeration date
01/25/2018
Last updated
01/25/2018
Update your record
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