Individual
KRISTINA MARIE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
11917 S NORWOOD AVE STE 112, TULSA, OK 74137-5509
(918) 779-0642
(918) 393-8002
Mailing address
11917 S NORWOOD AVE STE 112, TULSA, OK 74137-5509
(918) 779-0642
(918) 393-8002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
210451
OK
Other
Enumeration date
12/05/2022
Last updated
01/09/2025
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