IndividualActive
Amanda Stout
NPI 1790278935 · Psychiatric/Mental Health Registered Nurse · Grand Rapids, MI
Provider details
- NPI number
- 1790278935
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4704274564 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
300 68th St Se
Grand Rapids, MI 49548-6927
Phone: (616) 455-5000
Approximate (ZIP-level) locationGet directions
Mailing address
300 68th St Se
Grand Rapids, MI 49548-6927
Registry dates
- Enumerated
- 2018-06-12
- Last updated
- 2018-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.