Mr Brian Matthew Stout, is a
Licensed Vocational Nurse based in Puyallup, Washington. Mr Brian Matthew Stout is licensed to practice in Washington (license number LP60534434) and his current practice location is
18306 71st Ave E, Puyallup, Washington. He can be reached at his office (for appointments etc.) via phone at
(931) 538-2387.
NPI number for Mr Brian Matthew Stout is 1548851645 and his current mailing address is 18306 71st Ave E, Puyallup, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548851645.
Provider's Profile
| Full Name | Mr Brian Matthew Stout |
|---|
| Gender | Male |
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| Speciality | Licensed Vocational Nurse |
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| Location | 18306 71st Ave E, Puyallup, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548851645
- Provider Enumeration Date: 02/01/2021
- Last Update Date: 02/01/2021
Medical Identifiers
Medical identifiers for Mr Brian Matthew Stout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548851645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | LP60534434 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Brian Matthew Stout is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Brian Matthew Stout,
18306 71st Ave E,
Puyallup, WA 98375-1843
Ph: (931) 538-2387 | Mr Brian Matthew Stout,
18306 71st Ave E,
Puyallup, WA 98375-1843
Ph: (931) 538-2387 |
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