Doctor Name: | MS. SUZANNE OKO WOLF |
NPI Number: | 1053345090 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | RN081813 |
Business Practice Address: | 421 N Main St Leeds, MA - 010539764 |
Business Phone Number: | 4135844040 |
Business Fax Number: | 4135823009 |
Mailing Address: | 213 Northwest Rd, WESTHAMPTON |
State: | MA |
Postal Code: | 010279542 |
Phone Number: | 4132033026 |
Fax Number: | 4135823009 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 07/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | RN081813 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |