Active NPIIndividual provider

Nicole M Wolf, PA-C

Physician Assistant, Surgical in Derby, Connecticut

NPI Number1932821345
Practice location
130 Division St, Derby, CT 06418-1326
Fax
203-732-1332
Last updated
January 8, 2024

Nicole Marie Wolf is a Physician Assistant, Surgical based in Derby, CT. Nicole Marie Wolf practices in Derby, CT and has the professional credentials of PA-C. The NPI Number for Nicole Marie Wolf is 1932821345 and holds a License No. 5884 (CT). The current practice location address for Nicole Marie Wolf is 130 Division St, Derby, CT 06418-1326 and can be reached out via phone at 203-732-1330 and via fax at 203-732-1332.

Provider Profile Details

NPI Number
1932821345
Provider Name
Nicole Marie Wolf
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
130 Division St, Derby, CT 06418-1326
Phone Number
203-732-1330
Fax Number
203-732-1332
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
September 13, 2022
Last Update Date
January 8, 2024
Certification Date
January 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Division St
Derby, CT 06418-1326
City
Derby
Zip
06418-1326
Phone Number
203-732-1330
Fax Number
203-732-1332
Derby, CT 06418Get directions →

Provider Business Mailing Address Details

Address
67 Maple Ave
Derby, CT 06418-1328
City
Derby
State
CT
Zip
06418-1328

License Information

License Number
5884
License State
CT
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole M Wolf, PA-C?

The NPI number of Nicole M Wolf, PA-C is 1932821345. It was assigned on September 13, 2022 and is currently active in the NPPES registry.

What is the specialty of Nicole M Wolf, PA-C?

Nicole M Wolf, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 5884.

Where does Nicole M Wolf, PA-C practice?

The practice location is 130 Division St, Derby, CT 06418-1326. The office can be reached at 203-732-1330 (phone) or 203-732-1332 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932821345 directly on the NPPES registry website.

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