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Derrick J Wolf, FNP
Family Nurse Practitioner in Springfield, Illinois
NPI 1528769130

Derrick J Wolf is a Family Nurse Practitioner based in Springfield, IL and is specialized in Family. Derrick J Wolf practices in Springfield, IL and has the professional credentials of FNP. The NPI Number for Derrick J Wolf is 1528769130 and holds a License No. 209023068 (Illinois).

The current practice location address for Derrick J Wolf is 3220 Atlanta St, Springfield, IL and can be reached out via phone at 217-588-2600.

Location: 3220 Atlanta St, Springfield, IL, 62707-8801
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Provider Profile Details
NPI Number
1528769130
Provider Name
Derrick J Wolf
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
3220 Atlanta St, Springfield, IL, 62707-8801
Phone Number
217-588-2600
Fax Number
Provider Enumeration Date
03/13/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
041443336 01 IL RN LICENSE
institution
Provider Business Practice Location Address Details
Address
3220 Atlanta St
City
State
Zip
62707-8801
Phone Number
217-588-2600
Fax Number
person
Provider Business Mailing Address Details
Address
3220 Atlanta St
City
State
Zip
62707-8801
Phone Number
217-588-2600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209023068 (Illinois)
Definition
Definition to come...
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