Provider Demographics
NPI:1356347017
Name:WOLFE, LYNNE A (CRNP)
Entity type:Individual
Prefix:
First Name:LYNNE
Middle Name:A
Last Name:WOLFE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 BALTIMORE RD APT H34
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20851-1267
Mailing Address - Country:US
Mailing Address - Phone:203-687-7288
Mailing Address - Fax:
Practice Address - Street 1:NIH NHGRI BLDG 10 10 CENTER DR
Practice Address - Street 2:RM 3-2551, MSC 1205
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-443-8577
Practice Address - Fax:301-496-7157
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR18721363LA2100X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care