Individual provider · Type 1 NPI

Alicia Marie Stout

Licensed Practical Nurse · Canastota, NY

NPI number 1124437629 Active

Practice location

432 New Boston St, 3
Canastota, NY 13032-1046

Call (315) 632-5097 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X319236 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1124437629

Alicia Marie Stout's National Provider Identifier is 1124437629, issued on Aug 8, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Canastota, NY. The record was last updated on Aug 8, 2014.