Individual
LAURIE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10623 CRESTWOOD DRIVE, MANASSAS, VA 20109
(703) 361-7131
(703) 330-2065
Mailing address
10623 CRESTWOOD DRIVE, MANASSAS, VA 20109
(703) 361-7131
(703) 330-2065
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024176242
VA
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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