Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia Marie Stout

Individual provider Licensed Practical Nurse · NPI 1124437629

Alicia Marie Stout is a Licensed Practical Nurse in Canastota, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

432 New Boston St 3
Canastota, NY 13032-1046
Phone: (315) 632-5097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 319236 (NY)

Record details

NPI number1124437629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 8, 2014
Last updated in NPPESAugust 8, 2014

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