MEDICARE: ERIN MICHELLE WOLF

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
1	363LA2100X	Acute Care Nurse Practitioner	1091099	TX

General Provider Information

NPI Number	:	1922717362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN MICHELLE WOLF

Provider Business Mailing Address
First Line	:	3409 WORTH ST STE 420
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-2052
Country	:	US
Telephone Number	:	214-820-2346
Fax Number	:	214-820-9818

Provider Business Practice Location Address
First Line	:	3409 WORTH ST STE 420
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-2052
Country	:	US
Telephone Number	:	214-820-2346
Fax Number	:	214-820-9818

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2022
Last Update Date	:	11/13/2025

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