Provider Demographics
NPI:1831173210
Name:WOLFE, KAREN ANN (CRNA)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:WOLFE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ANN
Other - Last Name:TURKOWSKI, PUSKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:604 VILLAGGIO DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-3095
Mailing Address - Country:US
Mailing Address - Phone:412-897-3681
Mailing Address - Fax:864-235-6315
Practice Address - Street 1:604 VILLAGGIO DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-3095
Practice Address - Country:US
Practice Address - Phone:412-897-3681
Practice Address - Fax:864-235-6315
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCR43439367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP2991Medicaid
SCAN0077Medicaid
SC6878Medicare PIN
Q31120Medicare UPIN
SCAN0077Medicaid
SCGP2991Medicaid
SC6879Medicare PIN