# ALICIA WOLF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639146665
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | 08023 | OH | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | 12273 | MN | — |
| 363LG0600X | Gerontology Nurse Practitioner | 201359 | ND | — |
| 363LG0600X | Gerontology Nurse Practitioner | RN.303147 | OH | — |

## Other

- **Enumeration date:** 03/08/2006
- **Last updated:** 08/17/2026