Healthcare Provider Details

I. General information

NPI: 1144320383
Provider Name (Legal Business Name): DEBRA D WOLFE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBRA D MORTON ARNP

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 09/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 N BROADWAY AVE
STERLING KS
67579-1916
US

IV. Provider business mailing address

1100 N MAIN ST
HUTCHINSON KS
67501-4406
US

V. Phone/Fax

Practice location:
  • Phone: 620-278-2123
  • Fax: 620-278-2712
Mailing address:
  • Phone: 620-669-6690
  • Fax: 620-694-4512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number44294
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: