Individual
JOANN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
300 N HOSPITAL DR, PRICE, UT 84501-4218
(435) 636-4822
(435) 613-6105
Mailing address
300 N HOSPITAL DR, PRICE, UT 84501-4218
(435) 636-4822
(435) 613-6105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2668773102
UT
163WD0400X
Diabetes Educator Registered Nurse
Primary
21320520
UT
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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