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NPI Code Detail

MEDICARE: DANIEL WOLFF FNP, PMHNP

MEDICARE: DANIEL WOLFF FNP, PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP025228PA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerSP036016PA

General Provider Information

NPI Number : 1528713088
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL WOLFF FNP, PMHNP
Provider Business Mailing Address
First Line : 1103 E PASSYUNK AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-5119
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 561 FAIRTHORNE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-2412
Country : US
Telephone Number : 267-338-2263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2022
Last Update Date : 05/26/2026

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Directions to “ DANIEL WOLFF FNP, PMHNP” Practice Location

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