David Kohl, FNP-BC


David is a Board Certified Nurse Practitioner. He received his Master's in Nursing from the University of Delaware and his Bachelor's of Science in Nursing from Lycoming College.  David has an extensive background in in critical medical care.  Prior to working with us, David spent 10 years working for Christiana Care as a Flight Nurse with an elite helicopter rescue team. 

Grace Mani, DNP, FNP-BC


Dr. Grace Mani is a Board Certified Family Nurse Practitioner for the last 13 years. She is also a registered nurse for the last 35 years. Grace received her Doctorate in Nursing Practice from Wilmington University. Grace is a driven and compassionate health care provider. She is experienced in fast-paced hospital and clinical environments. She is accountable and responsible with a strong focus on patient wellness and safety. 

Vinod Kripalu, MD 


Dr. Kripalu is an internist (primary care physician) practicing in Wilmington,Delaware for the last 25 years. He did his residency at Jacobi Hospital (affiliated with Albert Einstein College of Medicine, New York) from 1994-1997. He is certified with the American Board of Internal Medicine. Prior to 1994 he worked at the prestigious All India Institute Of Medical Sciences, New Delhi, India.

Paula Rutledge, FNP-BC


Dr. Paula Rutledge is a Board Certified Family Nurse Practitioner. She obtained her FNP degree from Wilmington University and her Ph.D. from Hampton University. Dr. Rutledge has over 22 years of experience as a Family Nurse Practitioner and over 12 years of experience as an educator. Her experience in the medical field is varied and includes working as an Assistant Professor at Delaware State University in the department of nursing; working as a provider for Westside Health Family Practice, Delaware Physician Associate, and Wilmington 1st Urgent Care. Dr. Rutledge is not only passionate about caring for her patients but believes that they should understand the “whys” whats” and “hows” of care.

Misael Marquez, MD


Dr. Marquez is a board certified through the American Board of Internal Medicine. He has specialized in Primary Care for the past 23 years. Before coming to Trinity, Dr. Marquez was the owner and head physician of MB Medical Services. Dr. Marquez received his medical degree from the University of the Philippines. He did his residency at the University of Illinois at Chicago Medical Center. 

Ashley Doyle, FNP-BC


Ashley is a Board Certified Family Nurse Practitioner, certified through the American Nurses Credentialing Center (ANCC) and licensed by the state of Delaware. She earned both her Bachelors of Science and Masters of Science degrees in Nursing from Wilmington University.  Ashley has an extensive background working in mental health and substance abuse.

Ryeneysa Mackall (Gregory), FNP-BC


RyeNeysa is a Family Nurse Practitioner, certified through the American Nurse Credentialing Center (ANCC). She received her Bachelor’s of Science in Nursing from Norfolk State University and her Master’s of Science in Nursing from Widener University. RyeNeysa has a background in geriatric care and mental health. Ryeneysa has a passion for medicine and loves to care for her patients.

Trinity Medical Associates

Andrea Pouschine FNP-C


Andrea received her master's degree in Nursing from Drexel University where she graduated with a 4.0 GPA. She is board certified through the American Academy of Nurse Practitioners. Before becoming a Nurse Practitioner, she was a registered nurse since 2014. Before coming to Trinity she worked at Christiana Care in the cardiac step-down unit where she was the charge nurse. 

Laura Rowley, FNP-BC


Laura is a board-certified Family Nurse Practitioner (FNP), certified with the American Nurses Credentialing Center (ANCC). She received her Bachelor of Science in Nursing degree from the University of Delaware and her Master of Science in Nursing degree from The George Washington University. She has over 9 years of experience working as a Registered Nurse prior to obtaining her advanced degree, including 3 years with the American Embassy in Singapore. She has a special interest in sexual and reproductive health, diabetes, and mental health. Laura believes strongly that caring for and addressing your mental health is the first step to overall well-being. She is passionate about providing inclusive, holistic care to her patients and their families.  


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Julia Elcock-Vengen MD 


Dr. Julia is a family physician. She attended Temple University Medical School and completed Family Practice residency at St. Francis Hospital in June 1992. Since then, She has practiced mostly primary care, with some experience in nursing home care, urgent care and hospital medicine.

Dr. Julia is inspired to partner with patients in caring for their health with a holistic approach, and she looks forward to being of service.

Trinity Medical Associates' mission is to nurture your mind, body, and spirit, to help you achieve a state of complete well-being.


We are a full-service adult practice of dedicated, experienced medical providers who believe in working with each other and all of our patients to maintain and improve their health.  We work together to serve every adult for all of your medical needs in all stages of life. Our providers believe in delivering comprehensive health care services to our patients in a friendly, relaxed atmosphere. We also believe in educating our patients as we work with them to achieve the best physical state possible. 


Each physician is certified by the American Board of Medicine and comes to our practice with years of experience in their area of specialty.  Our board-certified nurse practitioners always consult with the attending physician in order to provide informed, consistent care at all times.


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