Individual
ASHLEA NICOLE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4807 N 187TH AVE, ELKHORN, NE 68022-1247
(402) 215-6179
Mailing address
4807 N 187TH AVE, ELKHORN, NE 68022-1247
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
115093
NE
363LA2200X
Adult Health Nurse Practitioner
115093
NE
363LG0600X
Gerontology Nurse Practitioner
115093
NE
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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