Individual
JOHN STOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CRNP, FNP-BC
Contact information
Practice address
4101 POST RD, TRAINER, PA 19061-5052
(610) 557-0293
Mailing address
PO BOX 428, WALLINGFORD, PA 19086-0428
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN564564
PA
363LF0000X
Family Nurse Practitioner
Primary
SP015036
PA
Other
Enumeration date
02/29/2016
Last updated
07/31/2017
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