Individual
TIFFANY L WOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
360 W RUDDLE ST, COALDALE, PA 18218-1027
(484) 526-6643
Mailing address
154 N FRONT ST, SCHUYLKILL HAVEN, PA 17972-8985
(484) 526-6643
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP034148
PA
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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