Individual
MEGAN WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
103 MILES AVE, FAYETTEVILLE, NY 13066-1628
(315) 382-0307
Mailing address
103 MILES AVE, FAYETTEVILLE, NY 13066-1628
(315) 382-0307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
341806
NY
Other
Enumeration date
07/11/2017
Last updated
08/01/2025
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