Individual
GLORIA D WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 E BROADWAY AVENUE, BISMARCK, ND 58501
(701) 530-7000
Mailing address
PO BOX 997, BISMARCK, ND 58502-0997
(701) 530-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R16331
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454252
—
ND
01
—
22998
BCBS ND
ND
01
—
500030678
RR MEDICARE
ND
01
—
R16331
LICENSE
ND
Enumeration date
02/16/2007
Last updated
08/24/2016
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