Individual provider · Type 1 NPI
Evan Stout
Gastroenterology Registered Nurse · Boise, ID
NPI number
1669129508
Active
Practice location
500 W Fort St
Boise, ID 83702-4501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gastroenterology Registered Nurse Primary | 163WG0100X | RN60622754 (WA) |
Gastroenterology Registered Nurse: Definition to come...
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About NPI 1669129508
Evan Stout's National Provider Identifier is 1669129508, issued on Mar 9, 2022. The primary taxonomy on file is Gastroenterology Registered Nurse (163WG0100X), and the practice location is in Boise, ID. The record was last updated on Mar 9, 2022.