Individual
KATRINA DIANE WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 738-2829
Mailing address
PO BOX 6001, SITKA, AK 99835-6001
(907) 738-2829
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
11756
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11756
DEPARTMENT OF COMMERCE, COMMUNITY, AND PROFESSIONAL LICENSING
AK
Enumeration date
11/18/2010
Last updated
11/18/2010
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