Individual
WILLIAM F WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
633D MEDICAL GROUP, 77 NEALY AVENUE, JOINT BASE LANGLEY-EUSTIS, VA 23665-2040
(757) 225-7630
Mailing address
633D MEDICAL GROUP, 77 NEALY AVENUE, JOINT BASE LANGLEY-EUSTIS, VA 23665-2040
(757) 225-7630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024169160
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336486992
—
VA
Enumeration date
01/15/2013
Last updated
05/07/2018
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