Doctor Name: | MRS. JOAN M WOLF |
NPI Number: | 1063575140 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN070569 |
Business Practice Address: | 3040 Twin Lakes Dr Avon Park, FL - 838259160 |
Business Phone Number: | 8634522493 |
Business Fax Number: | |
Mailing Address: | 100 Delaware Dr, GNADENHUTTEN |
State: | OH |
Postal Code: | 446299756 |
Phone Number: | 7402544748 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | RN070569 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |