Individual
KATHY WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
12127 STATE HIGHWAY 14 N, #B, CEDAR CREST, NM 87008-9461
(505) 281-2460
Mailing address
12127 STATE HIGHWAY 14 N, #B, CEDAR CREST, NM 87008-9461
(505) 281-2460
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-03064
NM
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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