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Individual
ANITA LEE GULLEY
Active
Individual
ANITA LEE GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004656
KY
363LF0000X
Family Nurse Practitioner
3004656
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074290
MEDICARE ID - 8002
KY
01
—
0213365
MEDICARE ID - 2133
KY
01
—
0216377
MEDICARE ID - 2163
KY
01
—
0247263
MEDICARE ID - 8158
KY
01
—
1063391
MEDICARE ID - 0633
KY
05
—
78015815
—
KY
Enumeration date
09/14/2006
Last updated
06/04/2025
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