Provider Demographics
NPI:1982927182
Name:WOLFE, JULIE DANIELLE (RN, CNOR, RNFA)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:DANIELLE
Last Name:WOLFE
Suffix:
Gender:F
Credentials:RN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 E FOOTHILL ST
Mailing Address - Street 2:
Mailing Address - City:APACHE JUNCTION
Mailing Address - State:AZ
Mailing Address - Zip Code:85119-1050
Mailing Address - Country:US
Mailing Address - Phone:602-290-4942
Mailing Address - Fax:
Practice Address - Street 1:2045 E FOOTHILL ST
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85119-1050
Practice Address - Country:US
Practice Address - Phone:602-290-4942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN085943163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant