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NPI Code Detail

MEDICARE: VICKY AYRES WOLF DNP, FNP-BC

MEDICARE: VICKY AYRES WOLF DNP, FNP-BC
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
1363LF0000XFamily Nurse Practitioner201215NC

General Provider Information

NPI Number : 1427047984
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKY AYRES WOLF DNP, FNP-BC
Provider Business Mailing Address
First Line : 2460 CURTIS ELLIS DR
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-2237
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2460 CURTIS ELLIS DR
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-2237
Country : US
Telephone Number : 252-962-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 11/03/2011

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