Provider Demographics
NPI:1932489648
Name:WOLFE, DIANNE (RN)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:
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 1:201 3RD ST FL 7
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-3146
Mailing Address - Country:US
Mailing Address - Phone:415-615-5166
Mailing Address - Fax:415-615-5335
Practice Address - Street 1:201 3RD ST FL 7
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-3146
Practice Address - Country:US
Practice Address - Phone:415-615-5166
Practice Address - Fax:415-615-5335
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA173657171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator