Individual provider · Type 1 NPI

Nicole M. Stout, CRNP

Nurse Practitioner · Bryn Mawr, PA

NPI number 1407072952 Active

Practice location

825 Old Lancaster Rd Ste 440
Bryn Mawr, PA 19010-3236

Call (610) 525-4511 Map

Fax (610) 525-8561

Mailing address

825 Old Lancaster Rd Ste 320
Bryn Mawr, PA 19010-3235

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XSP008428 (PA)
Nurse Practitioner Primary 363L00000XSP008428 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1407072952

Nicole M. Stout, CRNP's National Provider Identifier is 1407072952, issued on Apr 17, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bryn Mawr, PA. The record was last updated on Aug 12, 2025.