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NPI Code Detail

MEDICARE: ERIN THERESE WOLF N.P.

MEDICARE: ERIN THERESE WOLF N.P.
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 PractitionerRN262085OH
2363LF0000XFamily Nurse PractitionerAPRN11019862FL

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 : 1780794412
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN THERESE WOLF N.P.
Provider Business Mailing Address
First Line : 2675 WINKLER AVE FL 2
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9342
Country : US
Telephone Number : 877-856-3774
Fax Number :
Provider Business Practice Location Address
First Line : 7751 BAYMEADOWS RD E STE H
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-5836
Country : US
Telephone Number : 904-425-6963
Fax Number : 904-674-0155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 06/23/2022

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Directions to “ ERIN THERESE WOLF N.P.” Practice Location

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