Individual
ANITA WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6405 DAY ST, RIVERSIDE, CA 92507-0901
(951) 697-5405
(951) 697-5687
Mailing address
6405 DAY ST, RIVERSIDE, CA 92507-0901
(951) 697-5405
(951) 697-5687
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
546486
CA
163W00000X
Registered Nurse
95045423
CA
163WD0400X
Diabetes Educator Registered Nurse
21800115
CA
363LF0000X
Family Nurse Practitioner
Primary
95017385
CA
Other
Enumeration date
11/17/2020
Last updated
04/11/2025
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