Individual
MRS. BETHANY E WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5287
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5287
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.17587-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151493
—
OH
Enumeration date
09/18/2015
Last updated
01/11/2021
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