Individual
SUE M WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 796-8630
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2029
WI
364S00000X
Clinical Nurse Specialist
Primary
2029
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43966100
—
WI
Enumeration date
06/14/2005
Last updated
02/23/2010
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