Active NPIIndividual provider

Priscilla Stout, RN

Registered Nurse in Mattapan, Massachusetts

NPI Number1003096868
Practice location
1425 Blue Hill Ave, Mattapan, MA 02126-2253
Fax
617-296-1421
Last updated
November 9, 2007

Priscilla Stout is a Registered Nurse based in Mattapan, MA. Priscilla Stout practices in Mattapan, MA and has the professional credentials of RN. The NPI Number for Priscilla Stout is 1003096868 and holds a License No. 278147 (MA). The current practice location address for Priscilla Stout is 1425 Blue Hill Ave, Mattapan, MA 02126-2253 and can be reached out via phone at 617-898-9045 and via fax at 617-296-1421.

Provider Profile Details

NPI Number
1003096868
Provider Name
Priscilla Stout
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1425 Blue Hill Ave, Mattapan, MA 02126-2253
Phone Number
617-898-9045
Fax Number
617-296-1421
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
No
Provider Enumeration Date
November 9, 2007
Last Update Date
November 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1425 Blue Hill Ave
Mattapan, MA 02126-2253
Zip
02126-2253
Phone Number
617-898-9045
Fax Number
617-296-1421
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
1425 Blue Hill Ave
Mattapan, MA 02126-2253
City
Mattapan
State
MA
Zip
02126-2253
Phone Number
617-898-9045
Fax Number
617-296-1421

License Information

License Number
278147
License State
MA
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Priscilla Stout, RN?

The NPI number of Priscilla Stout, RN is 1003096868. It was assigned on November 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Priscilla Stout, RN?

Priscilla Stout, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number 278147.

Where does Priscilla Stout, RN practice?

The practice location is 1425 Blue Hill Ave, Mattapan, MA 02126-2253. The office can be reached at 617-898-9045 (phone) or 617-296-1421 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003096868 directly on the NPPES registry website.

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