# ANITA LEE GULLEY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548365133
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3004656 | KY | Yes |
| 363LF0000X | Family Nurse Practitioner | 3004656 | KY | — |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 06/04/2025

## 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 |