Provider Demographics
NPI:1366671893
Name:STILP, TRUDY R (CRNP)
Entity Type:Individual
Prefix:
First Name:TRUDY
Middle Name:R
Last Name:STILP
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:TRUDY
Other - Middle Name:
Other - Last Name:SCHNEIDER/BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:1016 MCDOWELL ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-2744
Mailing Address - Country:US
Mailing Address - Phone:302-463-7890
Mailing Address - Fax:
Practice Address - Street 1:8 S. WAYNE ST
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380
Practice Address - Country:US
Practice Address - Phone:610-692-1770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP000242F363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health