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Marialice Wagner Gulledge, NP
Nurse Practitioner in Charlotte, North Carolina
NPI 1770675027

Marialice Wagner Gulledge is a Nurse Practitioner based in Charlotte, NC. Marialice Wagner Gulledge practices in Charlotte, NC and has the professional credentials of NP. The NPI Number for Marialice Wagner Gulledge is 1770675027 and holds a License No. 5002198 (North Carolina).

The current practice location address for Marialice Wagner Gulledge is 1350 S Kings Dr, Charlotte, NC and can be reached out via phone at 704-446-1255.

Location: 1350 S Kings Dr, Charlotte, NC, 28219-9305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770675027
Provider Name
Marialice Wagner Gulledge
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1350 S Kings Dr, Charlotte, NC, 28219-9305
Phone Number
704-446-1255
Fax Number
Provider Enumeration Date
09/28/2006
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
1350 S Kings Dr
City
Charlotte
State
North Carolina
Zip
28207-2134
Phone Number
704-446-1255
Fax Number
person
Provider Business Mailing Address Details
Address
1350 S Kings Dr
City
Charlotte
State
North Carolina
Zip
28207-2134
Phone Number
704-446-1255
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5002198 (North Carolina)
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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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