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Individual

AMBER MICHELLE WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-1155
Mailing address
15806 GAINER RD, YOUNGSTOWN, FL 32466-2502
(940) 300-2715

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11017094
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/26/2021
Last updated
12/30/2021
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