Provider Demographics
NPI:1386638724
Name:WOLF, MARGARET E (ARNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:E
Last Name:WOLF
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 KRESGE WAY
Mailing Address - Street 2:STE 30
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4660
Mailing Address - Country:US
Mailing Address - Phone:502-891-8700
Mailing Address - Fax:502-891-8709
Practice Address - Street 1:3900 KRESGE WAY
Practice Address - Street 2:STE 30
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4660
Practice Address - Country:US
Practice Address - Phone:502-891-8700
Practice Address - Fax:502-891-8709
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3361P363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP20816Medicare UPIN
KY0097410Medicare ID - Type Unspecified