Individual
MARY L WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
115 JEFFERSON HWY, SUITE 9, LOUISA, VA 23093-6563
(540) 967-9401
(540) 967-9405
Mailing address
115 JEFFERSON HWY, SUITE 9, LOUISA, VA 23093-6563
(540) 967-9401
(540) 967-9405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024134693
VA
Other
Enumeration date
01/06/2006
Last updated
10/30/2012
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