Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | BP10055845 | TX |
Y | 2080P0214X | Pediatric Pulmonologist | DR.0063968 | CO |
NPI | 1467815696 |
---|---|
Provider Name | Annemarie Wolfe |
First Address | Aurora, CO 80045-7106 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2016 |
Last Update Date | 11/08/2020 |