Individual
MICHELE FRANCES WOLFGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 771-5131
(928) 771-5507
Mailing address
1586 MEADOWRIDGE RD, P.O. BOX 11148, PRESCOTT, AZ 86305-5247
(928) 708-0581
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN116133
AZ
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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