Provider Demographics
NPI:1154575272
Name:STUPPY, MARGARET ANN (NP)
Entity type:Individual
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First Name:MARGARET
Middle Name:ANN
Last Name:STUPPY
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Gender:F
Credentials:NP
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-594-4006
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:7547 MEDICAL DR
Practice Address - Street 2:SUITE 2100
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-4351
Practice Address - Country:US
Practice Address - Phone:804-694-5553
Practice Address - Fax:804-694-8232
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2016-02-01
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Provider Licenses
StateLicense IDTaxonomies
VA0024166867363LF0000X
MA2277584363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health