Doctor Name: | MRS. LAURA JANE FINLEY WOLF |
NPI Number: | 1750621652 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-121381 |
Business Practice Address: | 3810 Wulff Rd E Semmes, AL - 365755256 |
Business Phone Number: | 2514450582 |
Business Fax Number: | 2514450579 |
Mailing Address: | Po Box 2867, MOBILE |
State: | AL |
Postal Code: | 366522867 |
Phone Number: | 2516908894 |
Fax Number: | 2515442188 |
NPI Enumeration Date: | 03/01/2013 |
NPI Last Update Date: | 03/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 1-121381 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |