Individual
LYNAE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(170) 123-4200
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R37765
ND
Other
Enumeration date
02/22/2017
Last updated
05/18/2025
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