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Dave Stout
Emergency Registered Nurse in Kayenta, Arizona
NPI 1487152328

Dave Stout is a Emergency Registered Nurse based in Kayenta, AZ and is specialized in Emergency. Dave Stout practices in Kayenta, AZ. The NPI Number for Dave Stout is 1487152328 and holds a License No. 1623113 (Arizona).

The current practice location address for Dave Stout is 394.3 Highway 160, Kayenta, AZ and can be reached out via phone at 928-697-4100.

Location: 394.3 Highway 160, Kayenta, AZ, 86033-3656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487152328
Provider Name
Dave Stout
Credential
Provider Entity Type
Individual
Gender
Male
Address
394.3 Highway 160, Kayenta, AZ, 86033-3656
Phone Number
928-697-4100
Fax Number
Provider Enumeration Date
01/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1623113 01 REGISTERED NURSE
institution
Provider Business Practice Location Address Details
Address
394.3 Highway 160
City
Kayenta
State
Arizona
Zip
86033
Phone Number
928-697-4100
Fax Number
person
Provider Business Mailing Address Details
Address
394.3 Highway 160
City
Kayenta
State
Arizona
Zip
86033
Phone Number
928-697-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
1623113 (Colorado)
Definition
Definition to come...
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