Individual
JESSICA A WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4231 W 16TH AVE, DENVER, CO 80204-1335
(719) 537-0712
(719) 537-6284
Mailing address
PO BOX 150, HOLLY, CO 81047-0150
(719) 537-0712
(719) 537-6284
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APPLYING
CO
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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