Individual provider · Type 1 NPI

Sara Mae Stout, NP-C

Family Nurse Practitioner · Fort Wayne, IN

NPI number 1265041016 Active

Practice location

7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Fax (260) 436-6936

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71010502A (IN)
Family Nurse Practitioner 363LF0000X28214322A (IN)

Family Nurse Practitioner: Definition to come...

33 other providers at this address

Other family nurse practitioner providers in Fort Wayne

See all in Fort Wayne →

About NPI 1265041016

Sara Mae Stout, NP-C's National Provider Identifier is 1265041016, issued on Jul 28, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 2, 2023.