| Petronellah Mupereri, DNP | |
|
239 E Brown St, East Stroudsburg, PA 18301-3005 | |
| (272) 212-3872 | |
| (866) 230-5974 |
| Full Name | Petronellah Mupereri |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 239 E Brown St, East Stroudsburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407563729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN697983 (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | SP027006 (Pennsylvania) | Primary |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Petronellah Mupereri, DNP 801 Ostrum St, Bethlehem, PA 18015-1000 Ph: (272) 212-3009 | Petronellah Mupereri, DNP 239 E Brown St, East Stroudsburg, PA 18301-3005 Ph: (272) 212-3872 |
Ms. Whitney Smith, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 179 Independence Rd, East Stroudsburg, PA 18301 Phone: 570-476-3771 | |
John Joseph Kerprich Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 E Brown St, East Stroudsburg, PA 18301 Phone: 570-421-4000 | |
Allison C. Gossar, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 E Brown St, Immediate Care Center, East Stroudsburg, PA 18301 Phone: 570-476-3700 Fax: 570-476-3637 | |
Shannon Ives, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 228 Independence Rd, East Stroudsburg, PA 18301 Phone: 570-426-2830 | |
Christine Meyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 E Brown St, East Stroudsburg, PA 18301 Phone: 570-476-3700 Fax: 570-476-3637 | |
Sarah R Greene, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Plaza Ct Ste C, East Stroudsburg, PA 18301 Phone: 570-421-3800 | |
Miss Amy Simon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 E Brown St, East Stroudsburg, PA 18301 Phone: 570-476-3700 |