Stout, Dana Mary

Stout, Dana Mary is an individual health care provider with primary practice located at 7401 104Th Avenue, Suite 110 Comprehensive Orthopaedics, S.C., Kenosha WI 53142. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Stout, Dana Mary can be contacted via phone (414) 325-7246.

Contact Information

Primary practice address
7401 104Th Avenue, Suite 110 Comprehensive Orthopaedics, S.C. Kenosha WI 53142
Phone: (414) 325-7246
Fax: (414) 325-3770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 158976 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6479-33 Wisconsin

Profile Details

NPI number 1811379225
LBN Legal business name Stout, Dana Mary
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2015
Last updated Dec 3rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811379225 NPPES
Other 13577846 CAQH

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