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NPI Code Detail

MEDICARE: GAYATRI MULDEO MSN, APRN, FNC-C

MEDICARE:   GAYATRI  MULDEO  MSN, APRN, FNC-C
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
1363LF0000XFamily Nurse PractitionerAPRN11006270FL

General Provider Information

NPI Number : 1407454069
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAYATRI MULDEO MSN, APRN, FNC-C
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-432-8500
Fax Number :
Provider Business Practice Location Address
First Line : 15035 MICHELANGELO BLVD APT 303
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33446-2898
Country : US
Telephone Number : 352-426-1066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2020
Last Update Date : 06/09/2026

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Directions to “ GAYATRI MULDEO MSN, APRN, FNC-C” Practice Location

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