| Doctor Name: | SUSAN WOLFFE |
| NPI Number: | 1588060842 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | R66812 |
| Business Practice Address: | Jct Us Hwy 160 & Navajo Route 35 Teec Nos Pos, AZ - 86514 |
| Business Phone Number: | 9286565163 |
| Business Fax Number: | 9286565164 |
| Mailing Address: | Hc 61 Box 30, TEEC NOS POS |
| State: | AZ |
| Postal Code: | 86514 |
| Phone Number: | 9286565163 |
| Fax Number: | 9286565164 |
| NPI Enumeration Date: | 11/14/2014 |
| NPI Last Update Date: | 11/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | R66812 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |