NICHOLAS ADAM WOLF NP-C
NPI 1073087037
Nurse Practitioner - Family in Glen Burnie, MD
Active since January 14, 2019
About Nicholas Adam Wolf Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS ADAM WOLF NP-C (NPI 1073087037) is an individual family provider in Glen Burnie, Maryland, licensed in Maryland (R194732) and active in the NPI registry since January 2019.
NPPES Registry Identity
NPI1073087037
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNICHOLAS ADAM WOLFCredential: NP-C
Location Address1420 GORDON DRGlen Burnie, MD 21061-2845
Mailing Address1420 Gordon DrGlen Burnie, MD 21061-2845 · (410) 919-7666
Phone(410) 919-7666
Sole ProprietorYes
Enumeration DateJanuary 14, 2019
✔ NPI 1073087037 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R194732
1420 GORDON DR, Glen Burnie, MD 21061
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073087037, enumerated as an "individual" on January 14, 2019.
The provider is located at 1420 GORDON DR GLEN BURNIE, MD 21061 and the phone number is (410) 919-7666.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
