MEDICARE: GABRIELLE KATHLEEN RICHARDS FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	269192	AZ
2	363LF0000X	Family Nurse Practitioner	269192	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427700491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE KATHLEEN RICHARDS FNP

Provider Business Mailing Address
First Line	:	PO BOX 6730
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85246-6730
Country	:	US
Telephone Number	:	480-821-3600
Fax Number	:	480-857-2667

Provider Business Practice Location Address
First Line	:	7342 E THOMAS RD STE 105
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7243
Country	:	US
Telephone Number	:	480-821-3600
Fax Number	:	480-857-2667

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2022
Last Update Date	:	11/14/2023

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