Individual
LORELEI A WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
820 4TH ST N, FARGO, ND 58122-0001
(701) 234-6161
(701) 234-3861
Mailing address
820 4TH ST N, FARGO, ND 58122-0001
(701) 234-6161
(701) 234-3861
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R19094
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19620
—
ND
05
—
319720400
—
MN
Enumeration date
07/24/2006
Last updated
10/22/2008
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