Individual
CHARLENE MARTIN WOLFGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
806 MEGAN DR, CRANBERRY TWP, PA 16066-7422
(904) 316-4116
Mailing address
806 MEGAN DR, CRANBERRY TWP, PA 16066-7422
(904) 316-4116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP020818
PA
Other
Enumeration date
10/21/2020
Last updated
10/22/2020
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