| Doctor Name: | MS. WANEDA KAY WOLFE |
| NPI Number: | 1013007723 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.N., C.N.S., A.N.P. |
| License Number: | ARNP3417872 |
| Business Practice Address: | 100 Doctors Dr Ste C Panama City, FL - 324057609 |
| Business Phone Number: | 8508148400 |
| Business Fax Number: | 8502158405 |
| Mailing Address: | Po Box 913, PANAMA CITY |
| State: | FL |
| Postal Code: | 324020913 |
| Phone Number: | 8508148400 |
| Fax Number: | 8502158405 |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 03/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0812X |
| License Number: | ARNP3417872 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Community |
| Taxonomy Definition: | |