Individual
NANCY WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
603 HEMLOCK ST, SUITE 2D, BROOKINGS, OR 97415-9424
(541) 412-2094
(541) 469-6867
Mailing address
94220 4TH ST, GOLD BEACH, OR 97444-7756
(541) 247-3000
(541) 247-3101
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200650003NP
OR
363LP2300X
Primary Care Nurse Practitioner
081001426
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487696985
CURRY HEALTH DISTRICT
OR
05
—
292124
—
OR
Enumeration date
05/15/2007
Last updated
08/18/2015
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