| Dr Gwen E Richardson, PHD CFNP | |
|
601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | |
| (765) 494-1700 | |
| (765) 496-1227 |
| Full Name | Dr Gwen E Richardson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 601 Stadium Mall Dr, West Lafayette, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598752156 | NPI | - | NPPES |
| 92626 | Other | GEISINGER HEALTH PLAN | |
| 000000278645 | Other | ANTHEM BLUE CROSS BLUE SH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28105011A (Indiana) | Primary |
| 363L00000X | Nurse Practitioner | 71000365A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gwen E Richardson, PHD CFNP 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 Ph: (765) 494-1700 | Dr Gwen E Richardson, PHD CFNP 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 Ph: (765) 494-1700 |
Laura L Wavra, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905 | |
Marcia Ann Stroup, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-8227 | |
Gayle Doll, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-497-3551 | |
Yun Cai, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 | |
Azza H Ahmed, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N University St, West Lafayette, IN 47907 Phone: 765-494-4040 | |
Leslie D Lester, MWNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 Fax: 765-496-1227 | |
Mincy A Grove, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1400 Mitch Daniels Blvd Ste C, West Lafayette, IN 47906 Phone: 574-702-0556 |