Most Relevant Information
Provider Data
| NPI Number: | 1003331570 |
| Provider Name: | MARIAN MADOLYN STOTT RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 112425 |
Most Important Dates
| Enumeration Date: | 08/07/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
6084 APPLE TREE DR
MEMPHIS
TN
381150305
Practice Location Phone/Fax
| Phone: | 9012074804 |
| Fax: | 9012550758 |
Provider Mailing Location
6084 APPLE TREE DR
MEMPHIS
TN
381150305
Provider Mailing Phone/Fax
| Phone: | 9012074804 |
| Fax: | 9012550758 |