Individual
FAWN N WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 OSTRUM ST STE 501, FOUNTAIN HILL, PA 18015-1153
(484) 503-7000
(484) 503-7001
Mailing address
701 OSTRUM ST STE 501, FOUNTAIN HILL, PA 18015-1153
(484) 503-7000
(484) 503-7001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP024483
PA
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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