Stup, Gwynn

Stup, Gwynn is an sole proprietor health care provider with primary practice located at 1326 S Governors Ave Ste C, Dover DE 19904-4800. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Stup, Gwynn can be contacted via phone (302) 222-8304.

Contact Information

Primary practice address
1326 S Governors Ave Ste C Dover DE 19904-4800
Phone: (302) 222-8304
Fax: (302) 736-1280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X LE-0000166 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X LE-0000166 Delaware

Profile Details

NPI number 1942242664
LBN Legal business name Stup, Gwynn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2006
Last updated Mar 5th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942242664 NPPES
Delaware MEDICAID 1000036563

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