Provider Demographics
NPI:1033525712
Name:WOLFF, PAULA ANDRADE (ARNP)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:ANDRADE
Last Name:WOLFF
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:FRANCA
Other - Last Name:ANDRADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 E KINCAID ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98274-4127
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2320 FREEWAY DR
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-5445
Practice Address - Country:US
Practice Address - Phone:360-814-6850
Practice Address - Fax:360-814-6920
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-02
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60663493363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily