SARA MAE STOUT

FORT WAYNE, IN
NPI1265041016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71010502A)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IN  28214322A)
Enumeration Date2020-07-28
Last Update Date2023-11-02
Business Address
SARA MAE STOUT NP-C
7956 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-436-2416
Mailing Address
SARA MAE STOUT NP-C
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: