Stupka, Anne S.

Stupka, Anne S. is an individual health care provider with primary practice located at 160 Charlois Blvd , Winston Salem NC 27103-1522. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Stupka, Anne S. can be contacted via phone (336) 768-5834.

Contact Information

Primary practice address
160 Charlois Blvd Winston Salem NC 27103-1522
Fax: (336) 765-4889
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 600083 North Carolina
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 600083 North Carolina

Profile Details

NPI number 1982646600
LBN Legal business name Stupka, Anne S.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Feb 28th, 2008 - about 16 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 1982646600 NPPES
North Carolina MEDICAID 7003509

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