Individual
ANNE S. STUPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
160 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 768-5834
(336) 765-4889
Mailing address
160 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 768-5834
(336) 765-4889
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
600083
NC
363L00000X
Nurse Practitioner
600083
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003509
—
NC
Enumeration date
06/11/2006
Last updated
02/28/2008
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