Individual
DESIREE MARIE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
44045 RIVERSIDE PKWY STE 100, LEESBURG, VA 20176-5101
(703) 858-8878
(703) 858-8170
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024178892
VA
363LA2100X
Acute Care Nurse Practitioner
AC003583
MD
363LA2100X
Acute Care Nurse Practitioner
AP8964
AZ
Other
Enumeration date
09/21/2016
Last updated
03/28/2022
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