Individual
NICHOLAS ADAM WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1420 GORDON DR, GLEN BURNIE, MD 21061-2845
(410) 919-7666
Mailing address
1420 GORDON DR, GLEN BURNIE, MD 21061-2845
(410) 919-7666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R194732
MD
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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