Individual
AUDELIA STOUTAMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1500 FIFTH AVE, MCKEESPORT, PA 15132-2422
(412) 664-2314
Mailing address
929 GARY AVE, CLAIRTON, PA 15025-1107
(412) 370-2739
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP019980
PA
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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