Individual
CHRISTINA M WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4130 DUTCHMANS LN, SUITE 400, LOUISVILLE, KY 40207-4713
(502) 897-0697
(502) 897-0658
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3005074
KY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
5074P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000751972
ANTHEM - WS
KY
01
—
131114
SIHO - WS
KY
05
—
201352700
—
IN
01
—
50037002
PASSPORT - WS
KY
05
—
7100003060
—
KY
01
—
P01344221
MEDICARE RAILROAD
KY
Enumeration date
01/09/2007
Last updated
01/22/2021
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