Individual
BETHANY LEE WOLFERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN, FNP-C
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 941-7299
(508) 941-6299
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(508) 427-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2321703
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2321703
MA
Other
Enumeration date
05/22/2018
Last updated
03/17/2025
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