Elizabeth Mae Stout
Individual provider Active NPI Home Health Aide · Van Horne, IA
NPI 1346928744 · NPPES record last updated Jul 6, 2023
Key facts
- NPI
- 1346928744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 105 6TH St
Van Horne, IA 52346-9740 - Phone
- (319) 350-1857
- NPI assigned
- Jul 6, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
105 6TH St
Van Horne, IA 52346-9740
Mailing address
105 6TH St
Van Horne, IA 52346-9740
Phone (319) 350-1857
Other providers in Van Horne, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.