Individual provider · Type 1 NPI
Amanda Stout
Psychiatric/Mental Health Registered Nurse · Grand Rapids, MI
NPI number
1790278935
Active
Practice location
300 68th St SE
Grand Rapids, MI 49548-6927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 4704274564 (MI) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1790278935
Amanda Stout's National Provider Identifier is 1790278935, issued on Jun 12, 2018. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 12, 2018.