Individual provider · Type 1 NPI

Gwen E. Richardson, PHD CFNP

Nurse Practitioner · West Lafayette, IN

NPI number 1598752156 Active

Practice location

601 Stadium Mall Dr
West Lafayette, IN 47907-2052

Call (765) 494-1700 Map

Fax (765) 496-1227

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28105011A (IN)
Nurse Practitioner Primary 363L00000X71000365A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1598752156

Gwen E. Richardson, PHD CFNP's National Provider Identifier is 1598752156, issued on Sep 29, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in West Lafayette, IN. The record was last updated on Jul 13, 2026.