Provider Demographics
NPI:1013231984
Name:WOLFF, RUTH ELIZABETH (ARNP)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:ELIZABETH
Last Name:WOLFF
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 WESLEY ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-1613
Mailing Address - Country:US
Mailing Address - Phone:360-403-8158
Mailing Address - Fax:360-403-7098
Practice Address - Street 1:875 WESLEY ST
Practice Address - Street 2:SUITE 210
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1613
Practice Address - Country:US
Practice Address - Phone:360-403-8158
Practice Address - Fax:360-403-7098
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-22
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP 30002303363LF0000X
CA312273363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1046234Medicaid
WA1046234Medicaid