Individual
MRS. HEATHER R WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1470 12TH STREET, FENNIMORE, WI 53809
(608) 822-3367
Mailing address
1470 12TH STREET, FENNIMORE, WI 53809
(608) 822-3367
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35044800
—
WI
Enumeration date
02/08/2008
Last updated
02/08/2008
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