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NPI Code Detail

MEDICARE: AMY WOLFE NP

MEDICARE: AMY WOLFE NP
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
1363L00000XNurse PractitionerAP143205TX

General Provider Information

NPI Number : 1386295665
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY WOLFE NP
Provider Business Mailing Address
First Line : 6 BURNSIDE
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76310-1128
Country : US
Telephone Number : 940-723-8151
Fax Number :
Provider Business Practice Location Address
First Line : 6 BURNSIDE
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76310-1128
Country : US
Telephone Number : 940-723-8151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2019
Last Update Date : 09/02/2021

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Directions to “ AMY WOLFE NP” Practice Location

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