Individual
LESLIE M WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8901 INDIAN HILLS DR, SUITE 200, OMAHA, NE 68114-4057
(402) 397-7057
(402) 397-6656
Mailing address
8901 INDIAN HILLS DR, SUITE 200, OMAHA, NE 68114-4057
(402) 397-7057
(402) 397-6656
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110793
NE
363L00000X
Nurse Practitioner
A116276
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47077295213
—
NE
Enumeration date
04/13/2007
Last updated
12/08/2009
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