Provider Demographics
NPI:1659880037
Name:WOLFF, ERICA C (DNP, BSN, FNP-BC, RN)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:C
Last Name:WOLFF
Suffix:
Gender:F
Credentials:DNP, BSN, FNP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 S NORTH CURTICE RD
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-5806
Mailing Address - Country:US
Mailing Address - Phone:419-343-7402
Mailing Address - Fax:
Practice Address - Street 1:10677 FREMONT PIKE UNIT C
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-3386
Practice Address - Country:US
Practice Address - Phone:567-331-8018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2017-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.021448363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily