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NPI Code Detail

MEDICARE: GEORGE PATRICK WOLFE JR. CNP

MEDICARE:   GEORGE PATRICK WOLFE JR. CNP
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
1363LG0600XGerontology Nurse PractitionerNP07411OH
2363LA2200XAdult Health Nurse PractitionerNP07411OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730148602
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE PATRICK WOLFE JR. CNP
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD STE 600
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-5250
Country : US
Telephone Number : 888-987-1151
Fax Number :
Provider Business Practice Location Address
First Line : 21800 LIBBY RD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-2947
Country : US
Telephone Number : 330-388-0339
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 01/29/2026

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