Individual
MS. ERIN ALISE WOLF
Active
Individual
MS. ERIN ALISE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003300A
IN
363AM0700X
Medical Physician Assistant
Primary
10003300A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001573435
BCBS
—
01
—
10003300A
IN STATE LICENCE
IN
01
—
10003300B
IN CSR
IN
05
—
300053008
—
IN
05
—
7100754090
—
KY
Enumeration date
06/08/2021
Last updated
07/24/2026
Update your record
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