Provider Demographics
NPI:1619120581
Name:MCLAUGHLIN, GAYLA D (CRNP)
Entity Type:Individual
Prefix:MS
First Name:GAYLA
Middle Name:D
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 HANNAH VALLEY RD
Mailing Address - Street 2:MILLS COUNTY MEDICAL CLINIC
Mailing Address - City:GOLDTHWAITE
Mailing Address - State:TX
Mailing Address - Zip Code:76844-2533
Mailing Address - Country:US
Mailing Address - Phone:254-248-6267
Mailing Address - Fax:
Practice Address - Street 1:121 4TH ST
Practice Address - Street 2:
Practice Address - City:BLANKET
Practice Address - State:TX
Practice Address - Zip Code:76432-2019
Practice Address - Country:US
Practice Address - Phone:334-549-0078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX534102363LF0000X
AL1-107197363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily