Provider Demographics
NPI:1821387010
Name:STOUGHTON, ALISON M (CFNP)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:M
Last Name:STOUGHTON
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
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Mailing Address - Street 1:6938 ELM VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-7447
Mailing Address - Country:US
Mailing Address - Phone:269-552-4233
Mailing Address - Fax:269-552-4216
Practice Address - Street 1:6220 W MAIN ST
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-8925
Practice Address - Country:US
Practice Address - Phone:269-276-4744
Practice Address - Fax:269-353-5856
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704253239363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily