AMANDA STOUT
NPI 1790278935
Registered Nurse - Psychiatric/Mental Health in Grand Rapids, MI
About Amanda Stout NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA STOUT (NPI 1790278935) is an individual psychiatric/mental health provider in Grand Rapids, Michigan, licensed in Michigan (4704274564) and active in the NPI registry since June 2018.
NPPES Registry Identity
Specialties & Licenses
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GRAND RAPIDS, MI 49548
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790278935, enumerated as an "individual" on June 12, 2018.
The provider is located at 300 68TH ST SE GRAND RAPIDS, MI 49548 and the phone number is (616) 455-5000.
Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.