Provider Demographics
NPI:1740089283
Name:WOLFF, DANYA (RN)
Entity type:Individual
Prefix:
First Name:DANYA
Middle Name:
Last Name:WOLFF
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:997 CASANOVA AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6863
Mailing Address - Country:US
Mailing Address - Phone:712-635-1305
Mailing Address - Fax:
Practice Address - Street 1:997 CASANOVA AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6863
Practice Address - Country:US
Practice Address - Phone:712-635-1305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-08
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95266330163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse