Provider Demographics
NPI:1457863995
Name:WOLFINGER, KATHY MARIE (MSN, RN)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:MARIE
Last Name:WOLFINGER
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 TREMAINSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-3947
Mailing Address - Country:US
Mailing Address - Phone:419-671-3167
Mailing Address - Fax:419-671-3051
Practice Address - Street 1:2010 TREMAINSVILLE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-3947
Practice Address - Country:US
Practice Address - Phone:419-671-3167
Practice Address - Fax:419-671-3051
Is Sole Proprietor?:No
Enumeration Date:2017-10-24
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH205527163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool