| Doctor Name: | DANIELLE ANN WOOD WOLFORD |
| NPI Number: | 1447670146 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 406455 |
| Business Practice Address: | 2550 Som Center Rd Willoughby Hills, OH - 440949655 |
| Business Phone Number: | 4409438351 |
| Business Fax Number: | 4405168275 |
| Mailing Address: | 2550 Som Center Rd, WILLOUGHBY HILLS |
| State: | OH |
| Postal Code: | 440949655 |
| Phone Number: | |
| Fax Number: | 4405168275 |
| NPI Enumeration Date: | 04/21/2014 |
| NPI Last Update Date: | 01/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 406455 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |