Individual
KIMBERLY WOLF LUISANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FNP-BC
Contact information
Practice address
525 N TRYON ST STE 1600, CHARLOTTE, NC 28202-0213
(866) 949-0108
Mailing address
40 SMAIN, STE 1300, MEMPHIS, TN 38103-5513
(866) 949-0108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
236922
NC
363L00000X
Nurse Practitioner
Primary
5007365
NC
Other
Enumeration date
11/21/2014
Last updated
09/07/2021
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