Provider Demographics
NPI:1952621708
Name:WULFF, LINDA CAROL (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CAROL
Last Name:WULFF
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 OWLSHEAD MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05676-4450
Mailing Address - Country:US
Mailing Address - Phone:802-244-6290
Mailing Address - Fax:
Practice Address - Street 1:553 NORTH MAIN STREET
Practice Address - Street 2:PEOPLE'S HEALTH & WELLNESS CLINIC
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-2501
Practice Address - Country:US
Practice Address - Phone:802-479-1229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101-0033629364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult