Individual
BEATRICE M GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25 N COLLEGE AVE, NEWARK, DE 19716-3799
(302) 831-3195
(302) 831-3193
Mailing address
1275S STATE ST, DOVER, DE 19901-6927
(302) 672-2319
(302) 672-2341
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG0000166
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000033545
—
DE
Enumeration date
07/15/2005
Last updated
09/14/2015
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