Provider Demographics
NPI:1275180606
Name:WOLFE, ESTRELLA BLANCAFLOR (RN)
Entity Type:Individual
Prefix:MRS
First Name:ESTRELLA
Middle Name:BLANCAFLOR
Last Name:WOLFE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95-306 AUHAELE PL
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-1226
Mailing Address - Country:US
Mailing Address - Phone:808-349-3825
Mailing Address - Fax:808-625-6816
Practice Address - Street 1:95-306 AUHAELE PL
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-1226
Practice Address - Country:US
Practice Address - Phone:808-349-3825
Practice Address - Fax:808-625-6816
Is Sole Proprietor?:No
Enumeration Date:2019-08-21
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1-190015374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide