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General NPI Number Information
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NPI Number | 1427141563
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Entity Type | Individual
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Provider Name | MICHELLE JOAN WOLFF NP
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 213 FRONT ST
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City | BEAVER DAM
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State | WI
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Zip | 53916-1605
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Country | US
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Telephone | 847-261-4999
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Fax | 844-773-7700
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Provider Business Mailing Address
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Address Line | W10291 HAWK RD
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City | BEAVER DAM
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State | WI
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Zip | 53916-9523
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Country | US
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Telephone | 847-528-8662
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9724
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9724
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9724-33
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 277001217
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License Number State | IL
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