Elizabeth Diane Gwin, NP is a
Nurse Practitioner based in Strafford, Missouri. Elizabeth Diane Gwin is licensed to practice in Missouri (license number 2018001289) and her current practice location is
5604 E Park Pl, Strafford, Missouri. She can be reached at her office (for appointments etc.) via phone at
(417) 299-0767.
NPI number for Elizabeth Diane Gwin is 1154839843 and her current mailing address is 5604 E Park Pl, Strafford, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154839843.
Provider's Profile
| Full Name | Elizabeth Diane Gwin |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 5604 E Park Pl, Strafford, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154839843
- Provider Enumeration Date: 01/16/2018
- Last Update Date: 01/31/2023
Medical Identifiers
Medical identifiers for Elizabeth Diane Gwin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154839843 | NPI | - | NPPES |
| 420051021 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 2018001289 (Missouri) | 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. Elizabeth Diane Gwin 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 |
|---|
Elizabeth Diane Gwin, NP
5604 E Park Pl,
Strafford, MO 65757-9057
Ph: () - | Elizabeth Diane Gwin, NP
5604 E Park Pl,
Strafford, MO 65757-9057
Ph: (417) 299-0767 |
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