Individual
MRS. KRISTY MICHELLE WOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
935 WEST 2ND ST, SWANSEA, SC 29160
(803) 568-2000
(803) 568-5113
Mailing address
2720 SUNSET BLVD, ATTN CREDENTIALING, WEST COLUMBIA, SC 29169-4810
(803) 936-7679
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3246
SC
363LF0000X
Family Nurse Practitioner
Primary
3246F
SC
Other
Enumeration date
11/23/2007
Last updated
10/24/2011
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