1427086958 NPI number — MS. GLORIA ANN LESTER C.R.N.P., EDD.

Table of content: (NPI 1376574517)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427086958 NPI number — MS. GLORIA ANN LESTER C.R.N.P., EDD.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LESTER
Provider First Name:
GLORIA
Provider Middle Name:
ANN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
C.R.N.P., EDD.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427086958
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/24/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
31685 MILL CREEK CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEWES
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19958-3632
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-645-5888
Provider Business Mailing Address Fax Number:
302-629-2459

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
105 N FRONT ST
Provider Second Line Business Practice Location Address:
SUITE B NANTICOKE GYN ASSOC, PA
Provider Business Practice Location Address City Name:
SEAFORD
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19973-2707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-629-2434
Provider Business Practice Location Address Fax Number:
302-629-2459
Provider Enumeration Date:
06/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LW0102X , with the licence number:  LH0000104 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 61939801 . This is a "CAREFIRST MD" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 0000020301 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 26408 . This is a "COVENTRY" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 315676 . This is a "MAMSI PLANS" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 2146190000 . This is a "AMERIHEALTH" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 4273333 . This is a "AETNA" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com