Provider Demographics
NPI:1427086958
Name:LESTER, GLORIA ANN (CRNP, EDD)
Entity type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:ANN
Last Name:LESTER
Suffix:
Gender:F
Credentials:CRNP, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31685 MILL CREEK CT
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-3632
Mailing Address - Country:US
Mailing Address - Phone:302-645-5888
Mailing Address - Fax:302-629-2459
Practice Address - Street 1:105 N FRONT ST
Practice Address - Street 2:SUITE B NANTICOKE GYN ASSOC, PA
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-2707
Practice Address - Country:US
Practice Address - Phone:302-629-2434
Practice Address - Fax:302-629-2459
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELH0000104363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE61939801OtherCAREFIRST MD
DE0000020301Medicaid
DE26408OtherCOVENTRY
DE315676OtherMAMSI PLANS
DE2146190000OtherAMERIHEALTH
DE4273333OtherAETNA
DE0000020301Medicaid
DE26408OtherCOVENTRY