Skip Navigation

Provider Information for 1336689470

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

SUSAN GAIL WOLFE ARNP-C

Gender: FEMALE

Individual NPI: 1336689470

Calendar   Last Updated:  2020-02-11
  Certification Date:  2020-02-11

Details

Name Value
NPI 1336689470
Enumeration Date 2017-03-07
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 1395 NW 167TH ST
MIAMI GARDENS, FL 33169-5710
United States

Phone: 305-628-6117 | Fax:
View Map External Link
Primary Practice Address 3059 EDGEWOOD AVE W
JACKSONVILLE, FL 32209-2207
United States

Phone: 305-628-6117 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LF0000X - Nurse Practitioner Family FL ARNP2832682
No 363L00000X - Nurse Practitioner FL ARNP2832682
No 363LA2200X - Nurse Practitioner Adult Health FL ARNP 2832682