Marialice Wagner Gulledge in Charlotte - Nurse Practitioner
Marialice Wagner Gulledge - NPI 1770675027
Marialice Wagner Gulledge is a Nurse Practitioner in Charlotte, North Carolina. Marialice Wagner Gulledge practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Marialice Wagner Gulledge is 1770675027. The last update date is 2023-05-04.
Marialice Wagner Gulledge's current location address is 1350 S Kings Dr, Charlotte, North Carolina. You can contact this provider via phone number 7044461255. The mailing address for Marialice Wagner Gulledge is 1350 S Kings Dr, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marialice Wagner Gulledge |
|---|---|
| Address | 1350 S Kings Dr, Charlotte, North Carolina |
| Phone Number | 7044461255 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1770675027 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2023-05-04 |
Provider Mailing Address Detail
| Address | 1350 S Kings Dr |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282072134 |
| Phone Number | 7044461255 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 5002198 |
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Definition: (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 certifi |
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What is the unique 10-digit identification code issued to Marialice Wagner Gulledge by the Centers for Medicare & Medicaid Services?
The Marialice Wagner Gulledge has been assigned the NPI (National Provider Identifier) 1770675027 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Marialice Wagner Gulledge's physical address?
The Marialice Wagner Gulledge is physically located at 1350 S Kings Dr, in the city of Charlotte, NC, with the postal code 282072134.
What is the Marialice Wagner Gulledge's area of specialization and corresponding taxonomy classification?
The Marialice Wagner Gulledge's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770675027 to Marialice Wagner Gulledge?
The Centers for Medicare & Medicaid Services originally issued the 1770675027 to Marialice Wagner Gulledge on 2006-09-28.
When was the information pertaining to Marialice Wagner Gulledge most recently updated or revised?
The details related to Marialice Wagner Gulledge, including its address, specialty, and other relevant information, were last updated or revised on 2023-05-04.
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