Individual
MRS. PAMELA LOUISE STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
813 PRAIRIE VIEW RD., ARDMORE, OK 73401
(937) 657-4046
Mailing address
813 PRAIRIE VIEW RD., ARDMORE, OK 73401
(937) 657-4046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0132312
OK
174N00000X
Lactation Consultant (Non-RN)
L-34582
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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