Individual
MRS. LISA A WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3941
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP06704
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2343851
—
OH
01
—
7151773
AETNA
—
Enumeration date
11/23/2005
Last updated
12/16/2020
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