Individual
ANGELA JAYNE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
7409 2ND AVE, APT. A2, DETROIT, MI 48202-2700
(313) 320-3116
Mailing address
7409 2ND AVE, APT. A2, DETROIT, MI 48202-2700
(313) 320-3116
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704266624
MI
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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