Individual
NITHYA PRABHALA WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2377000
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2377000
MA
Other
Enumeration date
03/30/2023
Last updated
04/07/2024
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