Lynnetta Faye Stout, APRN-CNP | |
718 Avenue A, Beaver, OK 73932-3101 | |
(580) 625-3477 | |
(580) 625-3562 |
Full Name | Lynnetta Faye Stout |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 718 Avenue A, Beaver, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609027036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 46285 (Kansas) | Secondary |
363LF0000X | Nurse Practitioner - Family | R0094046 (Oklahoma) | Primary |
Entity Name | Beaver County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487631156 PECOS PAC ID: 9335134246 Enrollment ID: O20040419001694 |
Mailing Address | Practice Location Address |
---|---|
Lynnetta Faye Stout, APRN-CNP Po Box 640, Beaver, OK 73932-0640 Ph: (580) 625-3477 | Lynnetta Faye Stout, APRN-CNP 718 Avenue A, Beaver, OK 73932-3101 Ph: (580) 625-3477 |
Mrs. Camber Dean Cline, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 718 Avenue A, Beaver, OK 73932 Phone: 580-625-3477 Fax: 580-625-3562 | |
Mrs. Susan Danielle Trippet, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 718 Avenue A, Beaver, OK 73932 Phone: 580-625-3477 Fax: 580-625-3562 | |
Mrs. Allison Bennett, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 623 Avenue C, Beaver, OK 73932 Phone: 580-625-2273 Fax: 580-625-2274 |