Individual
LAURA ESTHER WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
400 E 2ND ST, BLOOMSBURG UNIVERSITY, KUB 324, BLOOMSBURG, PA 17815-1301
(570) 389-4451
(570) 389-3417
Mailing address
27 SPRING HOLLOW LANE, BLOOMSBURG, PA 17915
(570) 389-4451
(570) 389-3417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN336219L
PA
363L00000X
Nurse Practitioner
Primary
SP007383
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004991
CRNP
PA
Enumeration date
08/30/2006
Last updated
03/25/2008
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