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NPI Code Detail

MEDICARE: KIRA J WOLF CRNA

MEDICARE:   KIRA J WOLF  CRNA
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
1367500000XCertified Registered Nurse Anesthetist151738TX
2367500000XCertified Registered Nurse AnesthetistRNA263005ME

General Provider Information

NPI Number : 1689401317
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRA J WOLF CRNA
Provider Business Mailing Address
First Line : 22 BRAMHALL ST
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3134
Country : US
Telephone Number : 207-662-2526
Fax Number : 207-662-6236
Provider Business Practice Location Address
First Line : 22 BRAMHALL ST
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3134
Country : US
Telephone Number : 207-662-2526
Fax Number : 207-662-6236
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2024
Last Update Date : 03/02/2026

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Directions to “ KIRA J WOLF CRNA” Practice Location

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