Healthcare Provider Details

I. General information

NPI: 1568114650
Provider Name (Legal Business Name): MEGAN ALEXANDRIA WOLFF DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2022
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1686 HIGHWAY 160 W
FORT MILL SC
29708-8024
US

IV. Provider business mailing address

2822 BONNYBROOK CIR
ROCK HILL SC
29732-9430
US

V. Phone/Fax

Practice location:
  • Phone: 803-396-2727
  • Fax: 980-297-7599
Mailing address:
  • Phone: 803-448-2654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5017456
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5017456
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number25734
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number25734
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: