Vivian Anita Gulley, RN BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704246898 Issued in MI

Practice address

14592 Prairie St
Detroit, MI 48238-1913

Phone

(313) 864-3922

NPI assigned

Sep 22, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1063720134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14592 PRAIRIE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381913",
            "telephone_number": "313-864-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14592 PRAIRIE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381913",
            "telephone_number": "313-864-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLEY",
        "first_name": "VIVIAN",
        "middle_name": "ANITA",
        "name_prefix": "Ms.",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704246898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjalie Gulati, MD
• Emily Nichole Guldan, FNP, ANCC-BC
• Charleszetta C Gulledge
• Denequa Gulledge, PEER SPECIALIST
• Nakia Yvette Gullett, RN
• Junaid Gulzar, MBBS
• Christine Gumma, PA-C
• Peter Hanna Gumma, M.D.
• Barbra Thressa Gumn-Whiters, MA, LLPC, CAADC
• Heidi Gunderson, D.O.

• Registered Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.