Gwynn Stup, APR,N | |
1326 S Governors Ave, Ste C, Dover, DE 19904-4800 | |
(302) 222-8304 | |
(302) 736-1280 |
Full Name | Gwynn Stup |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 20 Years |
Location | 1326 S Governors Ave, Dover, Delaware |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942242664 | NPI | - | NPPES |
1000036563 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | LE-0000166 (Delaware) | Secondary |
364S00000X | Clinical Nurse Specialist | LE-0000166 (Delaware) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
A Center For Mental Wellness, Inc. | 1456408897 | 9 |
Entity Name | A Center For Mental Wellness, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639325822 PECOS PAC ID: 1456408897 Enrollment ID: O20090422000107 |
Entity Name | A Peace Of Mind |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194258376 PECOS PAC ID: 6406124650 Enrollment ID: O20170613001042 |
Mailing Address | Practice Location Address |
---|---|
Gwynn Stup, APR,N 1326 S Governors Ave, Ste C, Dover, DE 19904-4800 Ph: (302) 222-8304 | Gwynn Stup, APR,N 1326 S Governors Ave, Ste C, Dover, DE 19904-4800 Ph: (302) 222-8304 |
Felicia Cruz, APRN, AGCNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 640 S State St, Dover, DE 19901 Phone: 302-310-8148 | |
Mrs. Debra W. Petro, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 121 W Loockerman St, Dover, DE 19904 Phone: 302-674-1397 | |
Karin Cooney-newton, MSN, RN, APRN, CCRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 640 S State St, Dover, DE 19901 Phone: 302-310-8522 | |
Ludmila Santiago-rotchford, ACNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 640 S State St, Dover, DE 19901 Phone: 302-744-6166 | |
Mrs. Kimberly Kay Holmes, APRN, ACNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 200 Banning St Ste 150, Dover, DE 19904 Phone: 302-744-6592 Fax: 302-735-3240 | |
Sheila Lee Dirocco, APRN, AGCNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 640 S State St, Dover, DE 19901 Phone: 302-744-6223 | |
Robin Lynn Maracle, AGCNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 530 S State St Ste 107, Dover, DE 19901 Phone: 302-608-5299 Fax: 302-608-3885 |