Healthcare Provider Details

I. General information

NPI: 1184261406
Provider Name (Legal Business Name): MAUREEN EMMANUELLE WOLFE PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2019
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 S TAFT HILL RD
FORT COLLINS CO
80521-4240
US

IV. Provider business mailing address

1015 S TAFT HILL RD
FORT COLLINS CO
80521-4240
US

V. Phone/Fax

Practice location:
  • Phone: 970-221-4940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0022773
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: