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NPI Code Detail

MEDICARE: MRS. SHARON WOLF LPN

MEDICARE:  MRS. SHARON  WOLF  LPN
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
1164W00000XLicensed Practical Nurse5201653FL

General Provider Information

NPI Number : 1336698760
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARON WOLF LPN
Provider Business Mailing Address
First Line : 8100 BRIGHTON DR
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-6240
Country : US
Telephone Number : 727-992-0659
Fax Number :
Provider Business Practice Location Address
First Line : 8100 BRIGHTON DR
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-6240
Country : US
Telephone Number : 727-992-0659
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2016
Last Update Date : 03/15/2019

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Directions to “ MRS. SHARON WOLF LPN” Practice Location

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