Wolf, Lisa

Wolf, Lisa is an individual health care provider with primary practice located at 17222 Hospital Blvd Ste 120 , Brooksville FL 34601-8906. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wolf, Lisa can be contacted via phone (205) 753-0443.

Contact Information

Primary practice address
17222 Hospital Blvd Ste 120 Brooksville FL 34601-8906
Phone: (205) 753-0443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11011057 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP61498540 Washington

Profile Details

NPI number 1578152526
LBN Legal business name Wolf, Lisa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2021
Last updated May 3rd, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578152526 NPPES
Other 1134992191 NPPES
Other 1578152526 NPPES

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