Gwynn Stup in Dover - Psychiatric/mental Health

Gwynn Stup - NPI 1942242664

Gwynn Stup is a Psychiatric/mental Health in Dover, Delaware. Gwynn Stup practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Gwynn Stup is 1942242664. The last update date is 2017-03-05.

Gwynn Stup's current location address is 1326 S Governors Ave, Dover, Delaware. You can contact this provider via phone number 3022228304 and fax number 3027361280. The mailing address for Gwynn Stup is 1326 S Governors Ave, Dover, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Name Gwynn Stup
Address 1326 S Governors Ave, Dover, Delaware
Phone Number 3022228304
Fax Number 3027361280
Sole Proprietor Y
Credentials A.P.R,N.

NPI Number Detail

NPI Number 1942242664
Provider Enumeration Date 2006-06-11
Last Updated Date 2017-03-05

Provider Mailing Address Detail

Address 1326 S Governors Ave
City Dover
State Delaware (DE)
Post Code 199044800
Phone Number 3022228304
Fax Number 3027361280

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 364Sp0808X
Licence No LE-0000166
Definition:
An advanced practice registered nurse expert in psychiatric and mental health nursing care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1000036563 DE --

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FAQs about Gwynn Stup

What is the unique identifier code issued to Gwynn Stup by the Centers for Medicare & Medicaid Services (CMS)?

The Gwynn Stup has been assigned the NPI (National Provider Identifier) 1942242664. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Gwynn Stup is physically located?

The Gwynn Stup is physically situated at the following address: 1326 S Governors Ave, Dover, DE, 199044800.

What is the Gwynn Stup's specialty and taxonomy code?

The Gwynn Stup's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 364Sp0808X.

On what date was the 1942242664 assigned to Gwynn Stup?

The Gwynn Stup was issued its 1942242664 on 2006-06-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Gwynn Stup's details last updated?

The information pertaining to the Gwynn Stup, including its address, specialty, and other details, was most recently updated on 2017-03-05.

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