Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 89219 | OK |
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP61040791 | WA |
NPI | 1063897965 |
---|---|
Provider Name | Julia Wolf |
First Address | Wenatchee, WA 98801-2028 |
Second Address | Wenatchee, WA 98801-2028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2015 |
Last Update Date | 27/05/2021 |