Individual
AMINA FOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
84 STATE ST, BOSTON, MA 02109-2202
(860) 788-6404
Mailing address
PO BOX 1595, MIDDLETOWN, CT 06457-8095
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2322938
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
262029
RANDOM
—
Enumeration date
02/19/2020
Last updated
10/16/2024
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