Fouts, Stephanie Ann

Fouts, Stephanie Ann is an individual health care provider with primary practice located at 6701 Airport Blvd. B Bldg., T Level, Mobile AL 36608-3764. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Fouts, Stephanie Ann can be contacted via phone (251) 625-6896.

Contact Information

Primary practice address
6701 Airport Blvd. B Bldg., T Level Mobile AL 36608-3764
Fax: (251) 266-3209
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 1-134721 Alabama

Profile Details

NPI number 1104471978
LBN Legal business name Fouts, Stephanie Ann
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2019
Last updated Oct 27th, 2021 - about 3 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 1104471978 NPPES
Alabama Other A07863A MEDICARE PTAN
Alabama MEDICAID 241437 MEDICARE PTAN
Alabama Other P02566938 MEDICARE PTAN
Alabama MEDICAID 241021 MEDICARE PTAN
Alabama MEDICAID 241763 MEDICARE PTAN

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