NANCY WOLF FNP NPI 1558577569

NPI Information

NPI: 1558577569
Provider Name: NANCY WOLF, FNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
603 HEMLOCK ST
SUITE 2D
BROOKINGS, OR
ZIP 97415
Phone: (541) 412-2094
Get Directions

Nancy Wolf, FNP is a psychiatric/mental health nurse practitioner in Brookings, OR. Nancy Wolf, FNP NPI is 1558577569. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

603 HEMLOCK ST
SUITE 2D
BROOKINGS, OR
ZIP 97415-424
Phone: (541) 412-2094
Fax: (541) 469-6867

The NPI 1558577569 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 8/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	081001426	OREGON	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	200650003NP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1487696985	OTHER	OREGON	CURRY HEALTH DISTRICT
2	292124	MEDICAID	OREGON
3	R177676	MEDICARE OSCAR/CERTIFICATION	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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