Healthcare Provider Details

I. General information

NPI: 1063897965
Provider Name (Legal Business Name): JULIA WOLF ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2015
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 NW 122ND ST STE 105
OKLAHOMA CITY OK
73142-3908
US

IV. Provider business mailing address

3001 QUAIL SPRINGS PKWY FL 5
OKLAHOMA CITY OK
73134-2640
US

V. Phone/Fax

Practice location:
  • Phone: 405-427-4943
  • Fax: 405-951-8849
Mailing address:
  • Phone: 405-427-4943
  • Fax: 405-951-8849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP61040791
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR0089219
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: