Wolfram, Jennie Anna

Wolfram, Jennie Anna is an individual health care provider with primary practice located at 6720 Bertner Ave , Houston TX 77030-2604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Wolfram, Jennie Anna can be contacted via phone (832) 355-2666.

Contact Information

Primary practice address
6720 Bertner Ave Houston TX 77030-2604
Phone: (832) 355-2666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP119481 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 280657 Massachusetts

Profile Details

NPI number 1053385823
LBN Legal business name Wolfram, Jennie Anna
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Sep 7th, 2023 - about last year

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 1053385823 NPPES
Florida Other G2063 BC/BS FL
Florida Other P00077130 BC/BS FL
Florida Other 591783920 BC/BS FL

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