Individual
POLLY WOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0091
AZ
367500000X
Certified Registered Nurse Anesthetist
RN101821
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430050002
RAILROAD MEDICARE
AZ
05
—
440066
—
AZ
Enumeration date
12/21/2005
Last updated
10/15/2020
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