IndividualActive
Brandon Stout, CRNA
NPI 1144876780 · Certified Registered Nurse Anesthetist · Glendale, WI
Provider details
- NPI number
- 1144876780
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 220296-30 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
475 W River Woods Pkwy
Glendale, WI 53212-1081
Phone: (414) 961-6800
Approximate (ZIP-level) locationGet directions
Mailing address
3872 E Van Norman Ave
Cudahy, WI 53110-1228
Registry dates
- Enumerated
- 2019-08-09
- Last updated
- 2024-08-15
- Certified
- 2024-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.