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Individual

ANDREA C WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2401 PARK DR STE 101, HARRISBURG, PA 17110-9303
(717) 686-9842
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
MA001687L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103178972
PA
Enumeration date
01/16/2007
Last updated
01/23/2021
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