Individual
JENNIFER D WOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-6416
Mailing address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-6416
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N-30054
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
95001025
CA
Other
Enumeration date
12/29/2016
Last updated
03/20/2019
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