Provider Demographics
NPI:1134451032
Name:GAYNEL RICHIE NP LLC
Entity type:Organization
Organization Name:GAYNEL RICHIE NP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAYNEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHIE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:214-738-0769
Mailing Address - Street 1:8517 GALLERY WAY
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-8401
Mailing Address - Country:US
Mailing Address - Phone:214-738-0769
Mailing Address - Fax:
Practice Address - Street 1:8300 W ELDORADO PKWY
Practice Address - Street 2:BAYBROOKE VILLAGE
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5946
Practice Address - Country:US
Practice Address - Phone:214-738-0769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty