NPI 1003096868
Priscilla Stout, RN
Practice location
- Address
- 1425 Blue Hill Ave, Mattapan, MA 02126-2253
- Phone
- (617) 898-9045
- Fax
- (617) 296-1421
Registered specialties
Registered Nurse
Primary
Registry record
- NPI
- 1003096868
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Nov 2007
- Record last updated
- 9 Nov 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.