| Lynnetta Faye Stout, APRN-CNP | |
|
718 Avenue A, Beaver, OK 73932-3101 | |
| (580) 625-3477 | |
| (580) 625-3562 |
| Full Name | Lynnetta Faye Stout |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 718 Avenue A, Beaver, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609027036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 46285 (Kansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R0094046 (Oklahoma) | Primary |
| Entity Name | Beaver County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487631156 PECOS PAC ID: 9335134246 Enrollment ID: O20040419001694 |
| Mailing Address | Practice Location Address |
|---|---|
| Lynnetta Faye Stout, APRN-CNP Po Box 640, Beaver, OK 73932-0640 Ph: (580) 625-3477 | Lynnetta Faye Stout, APRN-CNP 718 Avenue A, Beaver, OK 73932-3101 Ph: (580) 625-3477 |
Mrs. Camber Dean Cline, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 322 Douglas Ave, Beaver, OK 73932 Phone: 580-625-0042 Fax: 405-281-4917 | |
Mrs. Susan Danielle Trippet, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 718 Avenue A, Beaver, OK 73932 Phone: 580-625-3477 Fax: 580-625-3562 | |
Mrs. Allison Bennett, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 623 Avenue C, Beaver, OK 73932 Phone: 580-625-2273 Fax: 580-625-2274 |