NICOLE M STOUT (NPI# 1407072952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407072952 |
| Entity Type | Individual |
| Full Name | NICOLE M STOUT |
| Credential | CRNP |
| Practice Address |
933 E Haverford Rd Bryn Mawr PA 19010-3819 |
| Practice Telephone | 6105254511 |
| Practice Fax Number | 6105258561 |
| Mailing Telephone | 6105254511 |
| Mailing Fax Number | 6105258561 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP008428 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831723709 | Nicole Patricia Stout | Physician Assistant | 168 Acres Dr, Hamilton, NJ 08690-3917 | 2020-02-28 |
| 1992042022 | Nicole Stout | Social Worker | 2455 E Parleys Way Ste 205, Salt Lake City, UT 84109-1241 | 2013-01-09 |
| 1285019893 | Nicole Catherine Stout | Optometrist | 1001 N Grand Ave, Tahlequah, OK 74464-7017 | 2015-07-24 |
| Street Address |
933 E HAVERFORD RD |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659350130 | Bonnie Lee Ashby | Internal Medicine | 933 E Haverford Rd, Bryn Mawr, PA 19010-3819 | 2006-01-12 |
| 1508208133 | Colleen M Kivitz | Nurse Practitioner | 933 E Haverford Rd, Bryn Mawr, PA 19010-3819 | 2013-07-24 |
| 1326393729 | Marie Catherine Scutti | Nurse Practitioner | 933 E Haverford Rd, Bryn Mawr, PA 19010-3819 | 2012-07-21 |
| 1821343849 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 933 E Haverford Rd, Bryn Mawr, PA 19010-3819 | 2012-07-16 |
| 1679846794 | Theresa Douse | Nurse Practitioner | 933 E Haverford Rd, Bryn Mawr, PA 19010-3819 | 2012-02-21 |
| 1174819130 | Damaris Suzanne Wessel | Family Medicine | 933 E Haverford Rd, Bryn Mawr, PA 19010-3819 | 2011-06-28 |
| 1801102074 | Heidi Hudek | Physician Assistant | 933 E Haverford Rd, Bryn Mawr, PA 19010-3819 | 2010-08-26 |
| 1942433453 | Cynthia Anne Huth | Nurse Practitioner | 933 E Haverford Rd, Bryn Mawr, PA 19010-3819 | 2009-08-31 |
| 1265681605 | Heather Gallagher | Nurse Practitioner | 933 E Haverford Rd, Bryn Mawr, PA 19010-3819 | 2008-09-10 |
| 1780842690 | Matthew Neill Olah | Internal Medicine | 933 E Haverford Rd, Suite 150, Bryn Mawr, PA 19010-3819 | 2008-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720554694 | Tina Marie Mccune | Nurse Practitioner | 825 Old Lancaster Rd Ste 320, Bryn Mawr, PA 19010-3235 | 2018-10-18 |
| 1689991283 | Gina Anne Pagotto | Nurse Practitioner | 933 E Haverford Road, Bryn Mawr, PA 19010-3819 | 2010-04-23 |
| 1073908406 | Kathryn Verlinghieri | Nurse Practitioner | 130 S Bryn Mawr Ave, Suite H321, Bryn Mawr, PA 19010-3121 | 2015-04-02 |
| 1164826525 | Katie Neer | Nurse Practitioner | 130 S Bryn Mawr Ave, Bryn Mawr Hospital, Bryn Mawr, PA 19010-3121 | 2014-10-14 |
| 1306275607 | Lauren Poppen | Nurse Practitioner | 5017 Brittany Ln, Bryn Mawr, PA 19010-2079 | 2013-11-06 |
| 1508208133 | Colleen M Kivitz | Nurse Practitioner | 933 E Haverford Rd, Bryn Mawr, PA 19010-3819 | 2013-07-24 |
| 1326393729 | Marie Catherine Scutti | Nurse Practitioner | 933 E Haverford Rd, Bryn Mawr, PA 19010-3819 | 2012-07-21 |
| 1437434149 | Rebecca Anne Bramen | Nurse Practitioner | 101 N Merion Ave, Bryn Mawr, PA 19010-2859 | 2011-10-13 |
| 1942433453 | Cynthia Anne Huth | Nurse Practitioner | 933 E Haverford Rd, Bryn Mawr, PA 19010-3819 | 2009-08-31 |
| 1003060765 | Jodi Lynn Kanzinger | Nurse Practitioner | 130 S Bryn Mawr Ave, Suite H321, Bryn Mawr, PA 19010-3121 | 2008-11-07 |
| Find all providers in BRYN MAWR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.