IndividualActive
Alicia Stout
NPI 1710471503 · Community Health Worker · Indianapolis, IN
Provider details
- NPI number
- 1710471503
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
5445 W Southport Rd
Indianapolis, IN 46221-9699
Phone: (317) 778-6955
Approximate (ZIP-level) locationGet directions
Mailing address
5445 W Southport Rd
Indianapolis, IN 46221-9699
Registry dates
- Enumerated
- 2018-06-15
- Last updated
- 2018-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.