# ALICIA WOLF GNP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104090117
- **Authorized official:** ALICIA WOLF GNP-BC (OWNER)
- **Authorized official phone:** (440) 666-6457

## Contact information

- **Practice address:** 2407 BECKET CIR, STOW, OH 44224-7027
- **Practice address phone:** (440) 666-6457
- **Mailing address:** 2407 BECKET CIR, STOW, OH 44224-7027
- **Mailing address phone:** (440) 666-6457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | COA08023-NP | OH | Yes |

## Other

- **Enumeration date:** 04/22/2008
- **Last updated:** 04/22/2008