Individual
CARY SUE WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 346-9400
Mailing address
1325 LOCUST AVE, FAIRMONT GENERAL HOSPITAL, FAIRMONT, WV 26554-1435
(304) 367-7100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
68608
WV
367500000X
Certified Registered Nurse Anesthetist
TEMP002833
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706470
MSBCBS
WV
01
—
001907661
MSBCBS
WV
01
—
002010982
MSBCBS
WV
05
—
0207026000
—
WV
05
—
2808484
—
OH
05
—
3810006746
—
WV
05
—
3810008140
—
WV
Enumeration date
07/06/2006
Last updated
07/05/2013
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