Individual
TARA K STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP
Contact information
Practice address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3100
Mailing address
1550 HICKORY AVE, NEW SHARON, IA 50207-8165
(641) 891-6017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A155667
IA
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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