Individual
MRS. HEATHER RENEA WOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN NP-C
Contact information
Practice address
6905 HOSPITAL DR STE 130, DUBLIN, OH 43016-9600
(614) 923-0300
Mailing address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 520-2495
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.12881-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075158
—
OH
Enumeration date
04/27/2012
Last updated
03/14/2018
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