MEDICARE: GLADWELL W GACUGA NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	5005157	NC

General Provider Information

NPI Number	:	1043501307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLADWELL W GACUGA NP

Provider Business Mailing Address
First Line	:	2901 SPRINGSWEET LN
Second Line	:	APT 15
City	:	RALEIGH
State	:	NC
Zip	:	27612-7163
Country	:	US
Telephone Number	:	507-398-9533
Fax Number	:

Provider Business Practice Location Address
First Line	:	DUKE UNIVERSITY DEPT OF ADVANCED CLINICAL
Second Line	:	BOX 3677
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-684-1033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2011
Last Update Date	:	02/18/2026

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