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Individual

JULIE B WOLF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1401 MADISON AVE, COVINGTON, KY 41011-3313
(859) 655-6100
Mailing address
215 E 11TH ST, NEWPORT, KY 41071-2203
(859) 655-6100

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
59985
KY
163W00000X
Registered Nurse
RN390184
OH
363LF0000X
Family Nurse Practitioner
Primary
3017245
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3017245
KY LICENSE
KY
01
59985
KY RN LICENSE
KY
Enumeration date
09/25/2014
Last updated
01/12/2022
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