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NPI Code Detail

MEDICARE: SUZANNE WOLFE CRNA

MEDICARE: SUZANNE WOLFE CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist4701220708MI
2367500000XCertified Registered Nurse Anesthetist43-558344-042KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1430F364420OTHERMIBCBSM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154390102
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE WOLFE CRNA
Provider Business Mailing Address
First Line : 3223 N WEBB RD STE 5
Second Line :
City : WICHITA
State : KS
Zip : 67226-8176
Country : US
Telephone Number : 316-462-5000
Fax Number : 316-462-5345
Provider Business Practice Location Address
First Line : 7550 W VILLAGE CIR STE 2
Second Line :
City : WICHITA
State : KS
Zip : 67205-9364
Country : US
Telephone Number : 316-838-8388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 04/11/2026

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Directions to “ SUZANNE WOLFE CRNA” Practice Location

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