Individual
MELINDA WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
21 GREEN ST, CONCORD, NH 03301-4021
(603) 225-2985
(603) 225-6160
Mailing address
21 GREEN ST, CONCORD, NH 03301-4021
(603) 225-2985
(603) 225-6160
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0363642308
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12432544
CAQH
—
01
—
QX1590
MEDICARE
—
01
—
S70256
UPIN
—
Enumeration date
08/30/2006
Last updated
10/29/2012
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