NIKI LEAH GULAU AGACNP NPI 1972359305

NPI Information

  • NPI: 1972359305
  • Provider Name: NIKI LEAH GULAU, AGACNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 76 UNDERWOOD ST STE 300
    ORLANDO, FL
    ZIP 32806
  • Phone: (218) 417-5503

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NPI Details

Niki Leah Gulau, AGACNP is an adult health nurse practitioner in Orlando, FL with 1 years of experience. Niki Leah Gulau, AGACNP NPI is 1972359305. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

76 UNDERWOOD ST STE 300
ORLANDO, FL
ZIP 32806-110
Phone: (218) 417-5503
Fax: (321) 841-1569

The NPI 1972359305 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/26/2024 and was last updated on 7/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN9555562FLORIDANo
2363LA2200XNurse PractitionerAdult HealthAPRN11033622FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1122947000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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