Provider Demographics
NPI:1750621652
Name:WOLF, LAURA JANE FINLEY (CRNP)
Entity type:Individual
Prefix:MRS
First Name:LAURA JANE
Middle Name:FINLEY
Last Name:WOLF
Suffix:
Gender:
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:PO BOX 2867
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36652-2867
Mailing Address - Country:US
Mailing Address - Phone:251-690-8894
Mailing Address - Fax:251-544-2188
Practice Address - Street 1:3810 WULFF RD E
Practice Address - Street 2:
Practice Address - City:SEMMES
Practice Address - State:AL
Practice Address - Zip Code:36575-5256
Practice Address - Country:US
Practice Address - Phone:251-445-0582
Practice Address - Fax:251-445-0579
Is Sole Proprietor?:No
Enumeration Date:2013-03-01
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-121381363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL168839Medicaid
AL168845Medicaid
AL198768Medicaid
AL218205Medicaid
AL164378Medicaid
AL163473Medicaid
AL167060Medicaid
AL149920Medicaid
AL150309Medicaid