ALICIA WOLF GNP, INC.; NPI #1104090117

Contact Information

ALICIA WOLF GNP, INC.

2407 BECKET CIR
STOW, OH 44224-7027

Phone: 440-666-6457
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gerontology	363LG0600X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for ALICIA WOLF GNP, INC.

NPI Number 1104090117

LBN Legal business name ALICIA WOLF GNP, INC.

Authorized official ALICIA WOLF - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/22/2008

Last updated 04/22/2008 - About 18 years ago

Identifiers

License #

COA08023-NP

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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