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Individual

HEATHER LOUISE WOLFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2 KEEFER DR, MERCERSBURG, PA 17236-1732
(717) 328-2119
(717) 328-0071
Mailing address
785 5TH AVENUE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4217

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052432
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103182151
PA
01
25-1716306
HEALTHNET/TRICARE
PA
01
443698
HEALTH AMERICA
PA
01
50074553
CAPITAL BLUECROSS
PA
01
867633
MEDICARE GROUP #
PA
01
MA052432
PA LICENSE
PA
01
P00602493
RAILROAD MEDICARE
PA
Enumeration date
01/14/2006
Last updated
03/07/2023
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