# KATHY JOLENE WULF

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730128463
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | A066623 | IA | Yes |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 04/02/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0442715 | — | IA |
| 05 | — | 100251147-00 | — | NE |
| 01 | — | 10336 | MIDLANDS CHOICE | — |
| 01 | — | P00126757 | RR MEDICARE IOWA | — |