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General NPI Number Information
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NPI Number | 1841194040
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Entity Type | Organization
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Legal Business Name | WOLFANGEL WELLNESS PLLC
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Dates
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Enumeration Date | 10/03/2026
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Last Update Date | 10/03/2026
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Provider Practice Location Address
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Address Line | 635 W GLENROSA AVE STE 104
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City | PHOENIX
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State | AZ
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Zip | 85013-3374
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Country | US
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Telephone | 602-625-7944
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Fax | 833-471-5960
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Provider Business Mailing Address
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Address Line | 635 W GLENROSA AVE STE 104
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City | PHOENIX
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State | AZ
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Zip | 85013-3374
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Country | US
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Telephone | 602-625-7944
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Fax | 833-471-5960
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Authorized Official
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Title or Position | OWNDER
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Name | TRAVIS WOLFANGEL
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Credential | DNP
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Telephone | 314-346-5524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State | NULL
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