Healthcare Provider Details

I. General information

NPI: 1487772588
Provider Name (Legal Business Name): DEBRA L WOLF RN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBRA L KREKLER RN, CNP

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE. ML 2001
CINCINNATI OH
45229-3039
US

IV. Provider business mailing address

3333 BURNET AVE. ML 2001
CINCINNATI OH
45229-3039
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4408
  • Fax: 513-636-7337
Mailing address:
  • Phone: 513-636-4408
  • Fax: 513-636-7337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.12106
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.12106-NP
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberCOA.12106-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: