Healthcare Provider Details

I. General information

NPI: 1225452329
Provider Name (Legal Business Name): CHRISTINE WOLFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2014
Last Update Date: 02/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 BARTELS RD
CINCINNATI OH
45244-4009
US

IV. Provider business mailing address

2650 BARTELS RD
CINCINNATI OH
45244-4009
US

V. Phone/Fax

Practice location:
  • Phone: 513-232-7770
  • Fax:
Mailing address:
  • Phone: 513-232-7770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN161490
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: