Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marialice Wagner Gulledge, NP

Individual provider Nurse Practitioner · NPI 1770675027

Marialice Wagner Gulledge, NP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2006, 20 years ago. Practices with Carolinas Medical Center, a 1,062-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
20
Licensed in
NC
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone: (704) 446-1255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 101 E W T Harris Blvd, Charlotte, NC 28262-3485 — (704) 863-1520
  • 101 E W T Harris Blvd, Charlotte, NC 28262-3485 — (704) 863-0640

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5002198 (NC)

Record details

NPI number1770675027
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJuly 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Carolinas Medical Center — 1062 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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