Individual
STACEY NICOLE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R207853
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R207853
MD
Other
Enumeration date
07/20/2022
Last updated
01/04/2023
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