Wolf, Nancy

Wolf, Nancy is an individual health care provider with primary practice located at 603 Hemlock St Suite 2D, Brookings OR 97415-9424. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wolf, Nancy can be contacted via phone (541) 412-2094.

Contact Information

Primary practice address
603 Hemlock St Suite 2D Brookings OR 97415-9424
Phone: (541) 412-2094
Fax: (541) 469-6867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 081001426 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 200650003NP Oregon

Profile Details

NPI number 1558577569
LBN Legal business name Wolf, Nancy
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Aug 18th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558577569 NPPES
Oregon Other 1487696985 CURRY HEALTH DISTRICT
Oregon MEDICAID 292124 CURRY HEALTH DISTRICT

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