Gwendolyn Upshaw, is a
Licensed Practical Nurse based in East Chicago, Indiana. Gwendolyn Upshaw is licensed to practice in Ohio (license number 145673) and her current practice location is
4123 Grace St, East Chicago, Indiana. She can be reached at her office (for appointments etc.) via phone at
(937) 974-6277.
NPI number for Gwendolyn Upshaw is 1952952798 and her current mailing address is 4123 Grace St, East Chicago, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952952798.
Healthcare Provider's Profile
| Full Name | Gwendolyn Upshaw |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 4123 Grace St, East Chicago, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952952798
- Provider Enumeration Date: 09/23/2019
- Last Update Date: 04/03/2026
Medical Identifiers
Medical identifiers for Gwendolyn Upshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952952798 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 164W00000X | Licensed Practical Nurse | 145673 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gwendolyn Upshaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Gwendolyn Upshaw, 4123 Grace St, East Chicago, IN 46312-2924 Ph: (937) 974-6277 | Gwendolyn Upshaw, 4123 Grace St, East Chicago, IN 46312-2924 Ph: (937) 974-6277 |
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