| Doctor Name: | BETHANNE ANNE FEHRENBACH WOLFSON |
| NPI Number: | 1083645634 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 26NN06289300 |
| Business Practice Address: | 155 Brighton Ave Mob 2nd Fl Somers Point, NJ - 08244 |
| Business Phone Number: | 6093653100 |
| Business Fax Number: | 6099268096 |
| Mailing Address: | 155 Brighton Ave, Mob 2nd Fl SOMERS POINT |
| State: | NJ |
| Postal Code: | 08244 |
| Phone Number: | 6093653100 |
| Fax Number: | 6099268096 |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 07/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NN06289300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |