Emily R Stout, PA
Physician Assistant in East Haven, Connecticut
1114472396- Practice location
- 339 Hemingway Ave, East Haven, CT 06512-5341
- Phone
- 203-468-9775
- Fax
- —
- Last updated
- November 15, 2021
Emily Rose Stout is a Physician Assistant based in East Haven, CT. Emily Rose Stout practices in East Haven, CT and has the professional credentials of PA. The NPI Number for Emily Rose Stout is 1114472396 and holds a License No. 003640 (CT). The current practice location address for Emily Rose Stout is 339 Hemingway Ave, East Haven, CT 06512-5341 and can be reached out via phone at 203-468-9775.
Provider Profile Details
- NPI Number
- 1114472396
- Provider Name
- Emily Rose Stout
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 339 Hemingway Ave, East Haven, CT 06512-5341
- Phone Number
- 203-468-9775
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 17, 2016
- Last Update Date
- November 15, 2021
- Certification Date
- November 15, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 339 Hemingway Ave
East Haven, CT 06512-5341 - City
- East Haven
- State
- Connecticut
- Zip
- 06512-5341
- Phone Number
- 203-468-9775
Provider Business Mailing Address Details
- Address
- 15 Sandra Dr
Branford, CT 06405-6137 - City
- Branford
- State
- CT
- Zip
- 06405-6137
- Phone Number
- 203-464-1909
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 003640
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Emily R Stout, PA?
The NPI number of Emily R Stout, PA is 1114472396. It was assigned on August 17, 2016 and is currently active in the NPPES registry.
What is the specialty of Emily R Stout, PA?
Emily R Stout, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 003640.
Where does Emily R Stout, PA practice?
The practice location is 339 Hemingway Ave, East Haven, CT 06512-5341. The office can be reached at 203-468-9775 (phone).
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 1114472396 directly on the NPPES registry website.