person
Mrs. Dana Lara Wolfe, NP-C
Family Nurse Practitioner in Southgate, Michigan
NPI 1033125802

Dana Lara Wolfe is a Family Nurse Practitioner based in Trenton, MI and is specialized in Family. Dana Lara Wolfe practices in Southgate, MI and has the professional credentials of NP-C. The NPI Number for Dana Lara Wolfe is 1033125802 and holds a License No. 2997 (Michigan).

The current practice location address for Dana Lara Wolfe is 16525 Fort St, Southgate, MI and can be reached out via phone at 734-250-9529.

Location: 16525 Fort St, Southgate, MI, 48183-5408
person
Provider Profile Details
NPI Number
1033125802
Provider Name
Dana Lara Wolfe
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
16525 Fort St, Southgate, MI, 48183-5408
Phone Number
734-250-9529
Fax Number
Provider Enumeration Date
07/31/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP1747 05 SC
P00906569 01 SC RAILROAD MEDICARE PTAN
4704154939 01 MI LICENSE #
2997 01 SC LICENSE #
institution
Provider Business Practice Location Address Details
Address
16525 Fort St
City
State
Zip
48195-1403
Phone Number
734-250-9529
Fax Number
person
Provider Business Mailing Address Details
Address
16525 Fort St
City
State
Zip
48195-1403
Phone Number
734-250-9529
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2997 (South Carolina)
Definition
Definition to come...
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