NPI 1124437629

Alicia Marie Stout

Practitioner Licensed Practical Nurse Canastota, NY

Practice location

Address: 432 New Boston St 3, Canastota, NY 13032-1046
Phone: (315) 632-5097

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 319236 (NY)

Other Licensed Practical Nurse providers in New York →

Registry record

NPI: 1124437629
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Aug 2014
Record last updated: 8 Aug 2014

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.