Individual
EMILY WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
141 W 22ND ST STE 210, ANDERSON, IN 46016-4389
(765) 646-8795
Mailing address
141 W 22ND ST STE 210, ANDERSON, IN 46016-4389
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001392A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
940990V
MEDICARE INDIVIDUAL PROVI
—
Enumeration date
07/11/2007
Last updated
03/28/2024
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