Individual provider · Type 1 NPI
Richard Barry Gaston, CRNP
Adult Health Nurse Practitioner · Mcintosh, AL
NPI number
1326255803
Active
Practice location
1379 Ciba Rd
Mcintosh, AL 36553
Fax (251) 436-5003
Mailing address
1004 Savannah St
Mobile, AL 36604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 1-072663 (AL) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1326255803
Richard Barry Gaston, CRNP's National Provider Identifier is 1326255803, issued on May 16, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Mcintosh, AL. The record was last updated on Jul 8, 2007.