Individual
MRS. BRENDA JANE WULFEKOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
113 LINER DR, GREENWOOD, SC 29646-8513
(864) 941-8170
(864) 388-1718
Mailing address
313 MAIN ST, SUITE B, GREENWOOD, SC 29646-2757
(864) 388-0301
(864) 388-0648
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN2436
SC
Other
Enumeration date
04/18/2006
Last updated
09/18/2013
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