Individual
ALICIA WOHLFARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4126 N HOLLAND SYLVANIA RD, STE 105, TOLEDO, OH 43623-3536
(419) 479-5605
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 473-3561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.17909-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098364
—
OH
Enumeration date
08/25/2015
Last updated
05/09/2016
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